title: Evaluation of mandibular reconstruction with particulate cancellous bone marrow and titanium mesh after mandibular resection due to tumor surgery.
abstract: There are numerous treatment modalities for mandibular defects after tumor surgery. Autogenous particulate cancellous bone marrow graft combined with titanium mesh (PCBM-MESH) is an alternative procedure. The purpose of this study was to evaluate PCBM-MESH for mandibular reconstruction. There were a total of 10 cases from 2000 to 2011. Mandibles were successfully reconstructed in 9 cases; however, reconstruction failed in 1 case. Overall, the recovery of facial contours was excellent; conversely, the evaluation of prosthetic treatment varied widely. Thus, we suggest 3 steps for mandibular reconstruction: (1) recover the continuity of bone segments; (2) simulate optimum facial contours and dental occlusion; and (3) perform the occlusion with dental prostheses. PCBM-MESH is a valuable method for mandibular defects-particularly for restoring facial contours and a favorable alveolar ridge.
authors.affiliation: *Lecturer, Division of Oral Medicine, Kyushu Dental University, Fukuoka, Japan. †Associate Professor, Department of Oral and Maxillofacial Surgery, Miyazaki University, Miyazaki, Japan. ‡Assistant Professor, Department of Oral and Maxillofacial Surgery, Oita University, Oita, Japan. §Assistant Professor, Division of Oral and Maxillofacial Surgery, Kyushu Dental University, Fukuoka, Japan. ‖Lecturer, Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan. ¶Professor and Chairman, Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Japan.
authors.forename: Ikuya
authors.initials: I
authors.lastname: Miyamoto
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Noriaki
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Shinnosuke
authors.initials: S
authors.lastname: Nogami
authors.forename: Kensuke
authors.initials: K
authors.lastname: Yamauchi
authors.forename: Daigo
authors.initials: D
authors.lastname: Yoshiga
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kaneuji
authors.forename: Tetsu
authors.initials: T
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D000368:Aged; D000539:Alveolar Process / Q000601:surgery; D016026:Bone Marrow Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery*; D063175:Mandibular Reconstruction / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D013526:Surgical Mesh; D014025:Titanium
chemical_list: D014025:Titanium