Evaluation of a novel osteosynthesis plate system for mandibular defects

Peters, Florian; Kniha, Kristian; Möhlhenrich, Stephan Christian; Hölzle, Frank; Modabber, Ali

doi:10.1016/j.bjoms.2020.07.018

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…191,[193][194][195] With large bone defects (> 10 teeth units), involvement of the mandibular midline and smoking seem to influence the occurrence of complications. 30,[189][190][191]193,196,197 Patient-specific reconstruction plates are also used. With those, no further bending is necessary, and areas with high-stress levels can be avoided because of finite element analysis in the planning phase.…”

Section: Alloplastic Reconstructionmentioning

confidence: 99%

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Bone reconstruction of extensive maxillomandibular defects in adults

Kämmerer,

Al‐Nawas

2023

Periodontology 2000

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Reconstruction of significant maxillomandibular defects is a challenge that has been much discussed over the last few decades. Fundamental principles were developed decades ago (bone bed viability, graft immobilization). Clinical decision‐making criteria are highly relevant, including local/systemic factors and incision designs, the choice of material, grafting technique, and donor site morbidity. Stabilizing particulated grafts for defined defects—that is, via meshes or shells—might allow significant horizontal and vertical augmentation; the alternatives are onlay and inlay techniques. More significant defects might require extra orally harvested autologous bone blocks. The anterior iliac crest is often used for nonvascularized augmentation, whereas more extensive defects often require microvascular reconstruction. In those cases, the free fibula flap has become the standard of care. The development of alternatives is still ongoing (i.e., alloplastic reconstruction, zygomatic implants, obturators, distraction osteogenesis). Especially for these complex procedures, three‐dimensional planning tools enable facilitated planning and a surgical workflow.

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Section: Alloplastic Reconstructionmentioning

confidence: 99%

“…The influence of radiation on the plate complication rate is still controversial, as some researchers found a correlation, while others did not 191,193–195 . With large bone defects (> 10 teeth units), involvement of the mandibular midline and smoking seem to influence the occurrence of complications 30,189–191,193,196,197 .…”

Section: Alternativesmentioning

confidence: 99%

Bone reconstruction of extensive maxillomandibular defects in adults

Kämmerer,

Al‐Nawas

2023

Periodontology 2000

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“…Only one publication reported a total nasal reconstruction with a 3D custom-made titanium prosthesis embedded in a free flap 9 . However, such inert foreign body is not biologically integrated and remains at high risk of infection, exposure, breakage or pseudarthrosis, especially in irradiated tissue 10 . Conversely, porous biomaterials appear promising thanks to their integration capacity i.e., they promote colonization by the host's cells 8,11 .…”

Section: Introductionmentioning

confidence: 99%

Total nasal reconstruction in irradiated tissue, a new hope

DUPRET-BORIES,

Chabrillac,

Poissonnet

et al. 2023

Preprint

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The 16th century expression "plain as the nose on one’s face" by Rabelais, used to refer to the obvious, reflects the paramount importance of the nose in a person's social life. However, total nasal reconstruction remains an unsolved surgical challenge. Through the case of a 50-year-old patient who lost her nose after cancer treatment, the authors present a total nasal reconstruction in two surgical steps using a novel and fully integrated 3D-printed biomaterial. In light of the surgical outcomes and the evolution of the patient's quality of life, this novel technique is a source of hope for many patients.

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