Successful total mandibular reconstruction using a fibular graft with long-term follow-up: A case report

Total mandible and bilateral TMJ reconstruction combining a customized jaw implant with a free fibular flap: a case report and literature review

“…An engineer report of the production of this implant written by L. Nichels in 2002 can be found on the journal Metal Powder Report [23]. All the scientific papers have been considered and compared [12][13][14][15][16][17][18][19][20][21][22]. The most important results have been summarized in Tables 1 and 2 then discussed in the next section.…”

“…The case reported in this paper demonstrates, in our opinion, that satisfactory rehabilitation can be achieved even after a bicondylar mandibulectomy using a free bone flap combined to patient-specific mandibular and articular titanium implants. Reviewing the literature, from 1980 to date, we have found only eleven reported cases of bicondylar mandibular replacement (Tables 1 and 2) [12][13][14][15][16][17][18][19][20][21][22][23].…”

“…In two cases, a whole titanium patient-specific mandibular replica has been implanted. In one case report, a freeze-dried human mandible allograft has been transplanted [11][12][13][14][15][16][17][18][19][20][21][22]. In recent years, we have been working with patient-specific porous titanium implants to give support to a FFF reconstruction in segmental mandibulectomy.…”

“…Only eleven cases of bicondylar mandibular reconstructions have been reported and just two of them had required also bilateral TMJ prosthetic replacement. The need for a bicondylar mandibular reconstruction combined with simultaneous bilateral joint replacement is a very challenging topic, fortunately rare, mainly secondary to traumatic injuries, osteomyelitis, bone dysplasia, or neoplasms [11][12][13][14][15][16][17][18][19][20][21][22]. This work aims to share our surgical experience reporting a case of mandibular bone reconstruction combined with bilateral prosthetic TMJ replacement.…”