title: [Limits of osseous reconstruction of the mandible with autologous spongiosa, hydroxyapatite granules and titanium mesh, especially after radiotherapy].
abstract: Over the past twenty years the 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 not 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-Fesichtschirurgie und plastische Operationen Saarbrücker Winterberg-Kliniken.
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
authors.initials: E
authors.lastname: Bender
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D017886:Durapatite; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000528:radiation effects / Q000601:surgery*; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000532:radiotherapy / Q000601:surgery; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery; D010025:Osteoradionecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D019736:Prostheses and Implants; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D013526:Surgical Mesh; D014025:Titanium; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D017886:Durapatite; D014025:Titanium
vernacular_title: Grenzen der knöchernen Rekonstruktion des Unterkiefers mit autogener Spongiosa, Hydroxylapatitgranulat und Titangitter, insbesondere nach Strahlentherapie.