title: Mandibular reconstruction with cancellous bone, hydroxylapatite and titanium mesh.
abstract: Over the past 20 years, titanium mesh combined with autologous iliac crest spongiosa and hydroxylapatite has performed well in the restoration of mandibular discontinuity defects in 79 patients. In 14 irradiated patients with a transplant bed of inferior quality, however, complications and failures occurred more often than in the 65 non irradiated patients. The results of our investigation clearly show that the success of mandibular reconstruction mainly depends on a well vascularized transplant bed.
authors.affiliation: Klinik für Mund-, Kiefer- und Gesichtschirurgie und Plastische Operationen, Saarbrücker Winterberg-Kliniken, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Dumbach
authors.forename: H
authors.initials: H
authors.lastname: Rodemer
authors.forename: W J
authors.initials: WJ
authors.lastname: Spitzer
authors.forename: E W
authors.initials: EW
authors.lastname: Steinhäuser
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D017886:Durapatite; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000528:radiation effects / Q000601:surgery*; D008341:Mandibular Prosthesis; D008875:Middle Aged; D019736:Prostheses and Implants; D011474:Prosthesis Design; D011878:Radiotherapy; D013499:Surface Properties; D013526:Surgical Mesh; D014025:Titanium
chemical_list: D017886:Durapatite; D014025:Titanium