Mandibular reconstruction using a special plate

Historical development of alloplastic temporomandibular joint replacement after 1945 and state of the art

“…Spiessl tried to counter the risk of resorption in the fossa by creating a spherically oval-shaped prosthetic condylar head that became known as the AO/ ASIF TMJ prosthesis 88,97 . A spike inserted into the spongy bone of the process of the joint should improve retention of the prosthesis fixed by bicortical screws 87 (Fig.…”

Primary oromandibular reconstruction using free flaps and thorp plates in cancer patients: A 5‐year experience

“…4,19,33 Furthermore, an MRP can often be bent perfectly on the mandibular segment before resection (preplating). 4,11 Beginning in the 1960s, several mandibular recon-struction systems were designed using metals like vitallium (chrome-cobalt-molybdenum), 30,34,35 stainless steel, 12,13,22,28,36,37 and titanium alloys.…”

“…4,11,21 Paralleling research into mandibular reconstruction using flap-tissue transfer (myocutaneous or osteomyocutaneous pedicled flaps, bonecontaining or soft-tissue free flaps), many authors (Byers 1946, Catania 1970, etc) started to experiment with alloplastic materials in an attempt to produce similar aesthetic and functional results with lower biologic and technical costs, initially with disastrous results (failure rates ranging from 60% to 80%). 13,22 Metallic plates, first designed for fixing orthopedic fractures, were adapted for mandibular reconstruction. 4,11,13,[23][24][25][26][27][28][29][30][31][32] In fact, a metallic plate fixed to the mandibular stumps restores osseous continuity and maintains residual occlusion and TMJ function.…”

Bone contouring and fixation in functional, primary microvascular mandibular reconstruction

“…The best rigid internal fixation appliance is the reconstruction plate. One such plate is the three-dimensional bendable gap-bridging plate (3DBGBP) introduced by Schmoker in 1983.' This plate is now available both in stainless steel and titanium.…”