J Korean Assoc Maxillofac Plast Reconstr Surg.  2012 Nov;34(6):466-472.

Reconstruction of Mandibular Bone Defect Using a Titanium Mesh with Autogenous Particulate Cortical Bone Graft by an Intraoral Approach: A Case Report

• Choi ST
• Leem DH

Abstract

The loss of mandibular continuity due to trauma, neoplasm, or infection results in major esthetic and biologic compromise. The reconstruction of the mandibular bone defect still poses a challenge to oral and maxillofacial surgeons. There have been a number of variety graft materials. Among them, free block bone graft with rigid fixation has been widely used. However, cases using free block bone grafts may lead to a marked invasion of the donor site, mal-union, and absorption of the block bone. In this respect, particulate cortical bone using a titanium mesh tray can be an effective alternative option in order to achieve a proper bone contour and good oral rehabilitation. We have developed an intraoral approach for the mandibular reconstruction method using a titanium mesh tray with autogenous particulate cortical bone graft.

Keyword

Mandible; Reconstruction; Particulate cortical bone; Intraoral approach

MeSH Terms

Absorption
Humans
Mandible
Mandibular Reconstruction
Tissue Donors
Titanium
Transplants
Titanium