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Updated: Dec 31, 2025
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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
6.9K
Reconstruction of segmental mandibular defects: Current procedures and perspectives.
Arnaud Paré1,2,3,4, Adeline Bossard5, Boris Laure1
1Service de Chirurgie Maxillo Faciale Plastique et Brulés, Hôpital Trousseau, CHU de Tours Tours France.
Laryngoscope Investigative Otolaryngology
|January 1, 2020
Summary
Reconstructing large jaw defects is complex. While osseous free flaps (FFs) offer reliable results for mandible reconstruction, bone tissue engineering (BTE) presents promising future alternatives.
Area of Science:
- Oral and Maxillofacial Surgery
- Regenerative Medicine
Background:
- Segmental mandibular defects pose significant functional and esthetic challenges.
- Current reconstructive techniques require careful consideration of etiology and patient-specific factors.
Purpose of the Study:
- To review current techniques for mandibular reconstruction.
- To explore alternatives to free flaps and the role of computer-assisted surgery.
- To discuss advancements and future perspectives in bone tissue engineering (BTE).
Main Methods:
- Clinical review of existing mandibular reconstruction methods.
- Analysis of various bone donor sites and alternative reconstructive options.
- Evaluation of computer-assisted surgery and bone tissue engineering.
Main Results:
- Osseous free flaps (FFs) provide reliable and satisfactory outcomes for mandible reconstruction.
- Locoregional flaps, distraction osteogenesis, and induced membrane techniques are viable for challenging cases.
- Further research is needed to optimize engineered bone for mechanical properties and vascularization.
Conclusions:
- Osseous free flap reconstruction is the current standard for segmental mandible defects.
- Bone tissue engineering strategies show potential as future reconstructive alternatives.
