Evaluation of mandibular reconstruction with particulate cancellous bone marrow and titanium mesh after mandibular resection due to tumor surgery

Ikuya Miyamoto, Yoshihiro Yamashita, Noriaki Yamamoto, Shinnosuke Nogami, Kensuke Yamauchi, Daigo Yoshiga, Takeshi Kaneuji, Tetsu Takahashi

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

There are numerous treatment modalities for mandibular defects after tumor surgery. Autogenous particulate cancellous bone marrow graft combined with titanium mesh (PCBM-MESH) is an alternative procedure. The purpose of this study was to evaluate PCBM-MESH for mandibular reconstruction. There were a total of 10 cases from 2000 to 2011. Mandibles were successfully reconstructed in 9 cases; however, reconstruction failed in 1 case. Overall, the recovery of facial contours was excellent; conversely, the evaluation of prosthetic treatment varied widely. Thus, we suggest 3 steps for mandibular reconstruction: (1) recover the continuity of bone segments; (2) simulate optimum facial contours and dental occlusion; and (3) perform the occlusion with dental prostheses. PCBM-MESH is a valuable method for mandibular defects-particularly for restoring facial contours and a favorable alveolar ridge.

Original languageEnglish
Pages (from-to)108-115
Number of pages8
JournalImplant Dentistry
Volume23
Issue number2
DOIs
Publication statusPublished - 2014 Apr

Keywords

  • PCBM combined with titanium mesh
  • mandibular reconstruction
  • segmental defect
  • top-down approach

ASJC Scopus subject areas

  • Oral Surgery

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