Costal Grafting in Mandibular Reconstruction

Plastic and Reconstructive Surgery. Global Open
Jean-Thomas BacheletA Gleizal

Abstract

Reconstruction of mandibular bone defect is a common indication in craniomaxillofacial surgery, and free fibular flap is the gold standard for this indication. However, there are alternatives; nonvascular bone grafting is one of them, and we present the costal grafting for mandibular reconstruction, a classic technique that is reliable, efficient, and produced less morbidity than the technique of using composite free flaps. A 9-year retrospective review of 54 patients treated surgically for mandibular reconstruction was performed. The criterion mainly analyzed was graft survival. The surgical technique was described in detail. A total of 54 patients with mandibular bone defect were identified. Five symphysis, 46 corpus, and 20 ramus defects were considered. These patients underwent reconstruction by costal grafting, and the engrafting was successful in 92.6% of cases. Dental rehabilitation with dental implants was realized in 70% of cases. The approach described in this article allowed the authors to obtain good results with costal grafting for mandibular reconstruction and dental rehabilitation. Costal grafting is a good alternative for fibula free flap in specific indications. Reconstruction of mandibular bone defect is a com...Continue Reading

References

Feb 13, 2001·Clinical Oral Implants Research·M ChiapascoG Vogel
Mar 22, 2006·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Giacomo De RiuAntonio Tullio
Jun 18, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Johannes T M van GemertRon Koole
Dec 15, 2010·The British Journal of Oral & Maxillofacial Surgery·Qu XingzhouWang Mingyi
Sep 6, 2012·The Journal of Craniofacial Surgery·Huseyin KaragozBilge Kagan Aysal
Jan 30, 2015·Plastic and Reconstructive Surgery·Youssef TahiriScott P Bartlett

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Citations

Nov 28, 2019·Plastic and Reconstructive Surgery. Global Open·Matthew T JoyJames T Thompson
Apr 15, 2021·The Journal of Craniofacial Surgery·Alice LiuJeffrey A Hammoudeh

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