title: [Reconstruction of the anterior mandibule using a porous titanium implant: a case report].
abstract: OBJECTIVE
  Anterior mandibular arch reconstruction.
  
  
  METHODS
  A 55-year-old immuno-depressed female underwent resection of the lower third of the face subsequent to extensive mucormycosis-related necrosis. Reconstruction of the anterior part of the mandible and adjacent soft tissue was carried out with a mandibular prosthesis and a latissimus dorsi flap. The mandibular prosthesis was made of titanium T40 micro-beads, consolidated by two parallel plates of titanium. The porous structure is intended to enhance cellular and bone integration.
  
  
  RESULTS
  The tolerance of the prosthesis was still excellent after 36 months. Labial continence was restored in a second procedure. Unrestricted diet was allowed from the third month. Radiological investigations confirm the good stability of the prosthesis.
  
  
  CONCLUSIONS
  This original prosthesis design offers an alternative to the reconstruction of an anterior mandibular arch by plate or by vascularised free osseous tissue transfer that is sometimes associated with significant morbidity.
authors.affiliation: CHU Hautepierre, Service d'ORL et de Chirurgie Cervico-Faciale, Strasbourg, France. philippe.schultz@chru-strasbourg.fr
authors.forename: P
authors.initials: P
authors.lastname: Schultz
authors.forename: D
authors.initials: D
authors.lastname: Vautier
authors.forename: I
authors.initials: I
authors.lastname: Atallah
authors.forename: A
authors.initials: A
authors.lastname: Gentine
authors.forename: C
authors.initials: C
authors.lastname: Debry
mesh_terms: D004954:Esthetics; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D008336:Mandibular Diseases / Q000601:surgery*; D008341:Mandibular Prosthesis; D008875:Middle Aged; D009091:Mucormycosis / Q000601:surgery*; D009336:Necrosis; D009894:Opportunistic Infections / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation; D013524:Surgical Flaps; D014025:Titanium
chemical_list: D014025:Titanium