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Titanium tray mandibular reconstruction

D E Schuller, J Bardach, C G Monteith

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |March 1, 1982
    PubMed
    Summary
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    Titanium trays offer a reliable solution for mandibular reconstruction after trauma or cancer surgery. This technique showed no implant extrusion in a series of 12 patients, with follow-up up to eight years.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Biomaterials Engineering
    • Reconstructive Surgery

    Background:

    • Mandibular reconstruction remains a significant clinical challenge.
    • Previous methods like rib or iliac bone grafts have shown limitations.
    • Advancements include myocutaneous flaps, microvascular grafts, and homografts.

    Purpose of the Study:

    • To evaluate the efficacy of titanium trays, with or without cancellous iliac bone grafts, for mandibular reconstruction.
    • To assess the long-term outcomes and safety of this reconstructive approach.

    Main Methods:

    • A retrospective case series of 12 patients undergoing mandibular reconstruction.
    • Utilized titanium trays, optionally combined with cancellous iliac bone grafts.
    • Follow-up included assessment for implant extrusion and overall success.

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    Main Results:

    • No immediate or delayed extrusion of the titanium tray was observed.
    • Successful mandibular reconstruction was achieved in all 12 patients.
    • Follow-up extended up to eight years post-surgery.

    Conclusions:

    • Titanium trays, with or without cancellous iliac bone grafts, represent a safe and effective option for mandibular reconstruction.
    • This technique demonstrates excellent long-term stability and a low complication rate.
    • Further discussion on the advantages and disadvantages of this method is warranted.