Transient recycling of resected bone to facilitate mandibular reconstruction - A technical note

Jing-Wei Lee, Shin Sheng Tsai, Yao-Lung Kuo

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Mandibular reconstruction requires considerable sculptural skills. The intriguingly complex configuration of the structure is difficult to reproduce. It is thus imperative for surgeons to seek a technique that improves the precision of the reconstruction. Patient: A 55-year-old male presented with a full thickness cancer (T4+) of his left cheek. Radical ablative surgery resulted in an extensive loss of bone and soft tissue mandating major reconstruction. Method: The resected bony specimen was thoroughly denuded, autoclaved, and then placed back into its original site so that the mandible resumed its pre-surgical configuration. A reconstruction plate was applied to maintain structural stability, then the "recycled bone" was used as a template and replaced with a free fibular graft. Result: The patient fared well and a follow-up panoramic radiograph demonstrated good alignment and symmetry of the reconstructed mandible. Conclusion: This method is a viable option for segmental mandibulectomy defect repair in selected cases. Using this technique, it is possible to restore the original bony contour expediently and accurately.

Original languageEnglish
Pages (from-to)395-399
Number of pages5
JournalJournal of Cranio-Maxillofacial Surgery
Volume34
Issue number7
DOIs
Publication statusPublished - 2006 Oct 1

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Mandibular Reconstruction
Mandible
Mandibular Osteotomy
Bone and Bones
Cheek
Transplants
Neoplasms
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

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abstract = "Background: Mandibular reconstruction requires considerable sculptural skills. The intriguingly complex configuration of the structure is difficult to reproduce. It is thus imperative for surgeons to seek a technique that improves the precision of the reconstruction. Patient: A 55-year-old male presented with a full thickness cancer (T4+) of his left cheek. Radical ablative surgery resulted in an extensive loss of bone and soft tissue mandating major reconstruction. Method: The resected bony specimen was thoroughly denuded, autoclaved, and then placed back into its original site so that the mandible resumed its pre-surgical configuration. A reconstruction plate was applied to maintain structural stability, then the {"}recycled bone{"} was used as a template and replaced with a free fibular graft. Result: The patient fared well and a follow-up panoramic radiograph demonstrated good alignment and symmetry of the reconstructed mandible. Conclusion: This method is a viable option for segmental mandibulectomy defect repair in selected cases. Using this technique, it is possible to restore the original bony contour expediently and accurately.",
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Transient recycling of resected bone to facilitate mandibular reconstruction - A technical note. / Lee, Jing-Wei; Tsai, Shin Sheng; Kuo, Yao-Lung.

In: Journal of Cranio-Maxillofacial Surgery, Vol. 34, No. 7, 01.10.2006, p. 395-399.

Research output: Contribution to journalArticle

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