Reconstruction of the mandible using preshaped 2.3-mm titanium plates, autogenous cortical bone plates, particulate cancellous bone, and platelet-rich plasma: a retrospective analysis of 20 patients

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Robert E C M MoorenPaul J W Stoelinga

Abstract

The purpose of this retrospective study was to evaluate a group of 20 patients who underwent a reconstruction of the mandible by use of free bone grafts and platelet-rich plasma (PRP). In a period of 8 years, 20 patients underwent a reconstruction of the mandible, by use of preshaped 2.3-mm titanium plates, autogenous cortical bone plates, autogenous particulate bone, PRP, and a special fixation technique. The patients were divided into 3 groups. Group 1 consisted of 10 patients who underwent secondary reconstruction after ablative surgery for malignant tumors. Of these, 4 had preoperative or postoperative radiotherapy. Group 2 comprised 7 patients who underwent primary reconstruction after resections for benign but aggressive odontogenic tumors. Group 3 consisted of 3 patients with severe atrophy and malunion. The defects ranged in size from 8 to 12 cm in groups 1 and 2 and from 2 to 4 cm in group 3, and the follow-up ranged from 1 to 8 years. The initial healing was uneventful in all but 3 patients. In these 3 patients additional bone grafts had to be placed to allow for optimal implant placement. At the time of implant insertion, some areas of granulation tissue were found, possibly because of the rather high dose of PRP use...Continue Reading

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Citations

Jan 17, 2014·Journal of Maxillofacial and Oral Surgery·D P Uma MageshG Uma Maheshwari
Jun 11, 2014·Lasers in Medical Science·Jonas D BatistaRogério M Pagnoncelli
Aug 28, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Jarkko T KorpiKyösti S Oikarinen
Mar 1, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Zhiwei DongYanpu Liu
May 20, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Vadim ReiserDan M Fliss
Jan 22, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Athanassios KyrgidisKonstantinos Antoniades
Feb 17, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Thomas SchlieveAntonia Kolokythas
Sep 14, 2016·Plastic and Reconstructive Surgery. Global Open·Rodrigo FariñaAlvaro Arriagada
Oct 10, 2018·Cranio : the Journal of Craniomandibular Practice·Mehmet Ali AltayFaisal A Quereshy
Jan 19, 2021·Craniomaxillofacial Trauma & Reconstruction·Vinay V KumarAnahí Hurtado-Chong

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