Mandibular reconstruction with cancellous bone, hydroxylapatite and titanium mesh

Over the past 20 years, titanium mesh combined with autologous iliac crest spongiosa and hydroxylapatite has performed well in the restoration of mandibular discontinuity defects in 79 patients. In 14 irradiated patients with a transplant bed of inferior quality, however, complications and failures occurred more often than in the 65 non irradiated patients. The results of our investigation clearly show that the success of mandibular reconstruction mainly depends on a well vascularized transplant bed.