Abstract
Introduction
Mandibular reconstruction has changed significantly over the years and continues to evolve with the introduction of newer technologies and techniques.
Purpose
This article reviews the history of oromandibular reconstruction, biomechanics of mandible, summarizes the reconstruction options available for mandible with defect classification, goals in reconstruction, the various donor sites, current reconstructive options, dental rehabilitation and persistent associated problems.
Summary
Oromandibular reconstruction, although a challenge for the head and neck reconstructive surgeon, is now reliable and highly successful with excellent long-term functional and aesthetic outcomes with the use of autogenous bone grafts and current reconstructive options. The ideal reconstruction would provide a solid arch to articulate with the upper jaw, restoring swallowing speech, mastication, and esthetics. Autogenous vascularized bone grafts in combination with microsurgical techniques have revolutionized mandibular reconstruction in oral cancer surgery. Current trends in mandibular reconstruction aim to achieve reestablishment of a viable mandible of proper form and maxillary mandibular relationship while decreasing the need for invasive autogenous graft procurement. However the optimal reconstruction of mandibular defects is still controversial in regards to reconstructive options which include the donor site selection, timing of surgery and method of reconstruction.
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References
Ivy RH (1951) Bone grafting for restoration of defects of the mandible. Plast Reconstr Surg (1946) 7(4):333–341
Tessier P, Kawamoto H, Matthews D, Posnick J, Raulo Y, Tulasne JF, Wolfe SA (2005) Taking long rib grafts for facial reconstruction: tools and techniques—III. A 2900-case experience in maxillofacial and craniofacial surgery. Plast Reconstr Surg 116(5 Suppl):38S–46S (discussion 92S–94S)
Testelin S (1992) History of microsurgical reconstruction of the mandible. Ann Chir Plast Esthet 37(3):241–245
de Fries HO (1981) Reconstruction of the mandible: use of combined homologous mandible and autologous bone. Otolaryngol Head Neck Surg 89(4):694–697
White S (1909) The employment of silver wire to bridge the gap after resection of a portion of the lower jaw. Br Med J 2(2552):1525
Lowlicht RA, Delacure MD, Sasaki CT (1990) Allogeneic (homograft) reconstruction of the mandible. Laryngoscope 100(8):837–843
Attie JN, Catania A, Ripstein CB (1953) Stainless steel mesh prosthesis for immediate replacement of hemimandibulectomy. Surgery 33:712
Blocker TC, Stout RA (1949) Mandibular reconstruction. World War II. Plast Reconstr Surg 4:153
Castermans A, Van Garse R, Vanwick R (1977) Primary resection of mandible after resection for oral cancer. Acta Chir Belg 2:205–208
Bowerman JE (1974) A review of reconstruction of the mandible. Proc R Soc Med 67(7):610–614
Albert TW, Smith JD, Everts E, Cook TA (1980) Dacron mesh tray and cancellous bone in reconstruction of mandibular defects. Arch Otolaryngol Head Neck Surg 8:78–83
Wersäll J, Bergstedt H, Körlof B, Lind MG (1984) Split-rib graft for reconstruction of the mandible. Otolaryngol Head Neck Surg 92:270–275
Taylor GI, Townsend P, Corlett R (1979) Superiority of the deep circumflex iliac vessels as the supply for free groin flaps. Experimental work. Plast Reconstr Surg 64(5):595–604
Swartz WM, Banis Newton JCED (1986) The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg 77(4):530–545
Hidalgo DA (1989) Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 84(1):71–79
Bradley PF (1982) A two-stage procedure for reimplantation of autogenous freeze-treated mandibular bone. J Oral Maxillofac Surg 40:278
Dong YJ, Zhang GZ, Wang SP, Li Z (1996) The use of immediate frozen autogenous mandible, for benign tumour mandibular reconstruction. Br J Oral Maxillofac Surg 34(1):58–61
Kuo YR, Shih HS, Chen CC et al (2010) Free fibula osteocutaneous flap with soleus muscle as a chimeric flap for reconstructing mandibular segmental defect after oral cancer ablation. Ann Plast Surg 64(6):738–742
Bak M, Jacobson AS, Buchbinder D, Urken ML (2010) Contemporary reconstruction of the mandible. Oral Oncol 46(2):71–76
Lin PY, Lin KC, Jeng SF (2011) Oromandibular reconstruction: the history, operative options and strategies, and our experience. ISRN Surg 2011:824251
Misch CE, Qu ZM, Bidez MW (1999) Mechanical properties of trabecular bone in the human mandible: implications for dental implant treatment planning and surgical placement. J Oral Maxillofac Surg 57:700–706
Yi WJ, Heo MS, Lee SS, Choi SC, Huh KH, Lee SP (2007) Direct measurement of trabecular bone anisotropy using directional fractal dimension and principal axes of inertia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:10–116
Jewer DD, Boyd JB, Manktelow RT, Zuker RM, Rosen IB, Gullane PJ et al (1989) Orofacial and mandibular reconstruction with the iliac crest free flap: a review of 60 cases and a new method of classification. Plast Reconstr Surg 84:391–405
Maurer P, Eckert AW, Kriwalsky MS, Schubert J (2010) Scope and limitations of methods of mandibular reconstruction: a long-term follow-up. Br J Oral Maxillofac Surg 48:100–104
Schusterman MA, Harris SW, Raymond AK, Goepfert H (1993) Immediate free flap mandibular reconstruction: significance of adequate surgical margins. Head Neck 15:204
Lawson W, Loscalzo LJ, Baek SM et al (1982) Experience with immediate and delayed mandibular reconstruction. Laryngoscope 92:5
Marx RE, Ames JR (1982) The use of hyperbaric oxygen therapy in bony reconstruction of the irradiated and tissue deficient patient. J Oral Maxillofac Surg 40:410
Marx RE (1993) Mandibular reconstruction. J Oral Maxillofac Surg 51:466
Carlson ER, Monteleone K (2004) An analysis of inadvertent perforations of mucosa and skin concurrent with mandibular reconstruction. J Oral Maxillofac Surg 62:1103
Cordeiro PG, Hidalgo DA (1995) Conceptual considerations in mandibular reconstruction. Clin Plast Surg 22:61
Baker A, McMahon J, Parmar S (2001) Immediate reconstruction of continuity defects of the mandible after tumor surgery. J Oral Maxillofac Surg 59:1333
Li X, Zhu K, Liu F, Li H (2014) Assessment of quality of life in giant ameloblastoma adolescent patients who have had mandible defects reconstructed with a free fibula flap. World J Surg Oncol 12:201. doi:10.1186/1477-7819-12-201
Netscher DT, Meade RA, Goodman CM et al (2000) Quality of life and disease specific functional status following microvascular reconstruction for advanced (T3 and T4) oropharyngeal cancers. Plast Reconstr Surg 105:1628
Weymuller EA, Yueh B, Deleyiannis FWB et al (2000) Quality of life in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg 126:329
Boyd JB, Mullholland RS, Davidson J et al (1995) The free flap and plate in oromandibular reconstruction: long-term review and indications. Plast Reconstr Surg 95:1018
Havlik RJ (1996) Reconstruction of the pediatric mandible. Oper Tech Plastic Reconstr Surg 3(4):272–288. https://www.infona.pl/resource/bwmeta1.element.elsevier-22f19fc2-1ab2-3f4b-8a75-4ed01a222baf
Gullane PJ, Holmes H (1976) Mandibular reconstruction new concept. Arch Otolaryngol Head Neck Surg 112:714–719
Urken ML (1991) Composite free flaps in oro-mandibular reconstruction. Arch Otolaryngol Head Neck Surg 117:724–732
Komisar A (1990) The functional result of mandibular reconstruction. Laryngoscope 100:364–374
Peled M, El-Naaj IA, Lipin Y, Ardekian L (2005) The use of free fibular flap for functional mandibular reconstruction. J Oral Maxillofac Surg 63:220–224
Yim KK, Wei FC (1994) Fibula osteoseptocutaneous flap for mandible reconstruction. Microsurgery 15(4):245–249
Haughey BH, Fredrickson JM, Lerrick AJ et al (1994) Fibular and iliac crest osteomuscular free flap reconstruction of the oral cavity. Laryngoscope 104:1305
Vuillemin T, Raveh J, Sutter F (1998) Mandibular reconstruction with the titanium hollow screw reconstruction plate (THORP) system: evaluation of 62 cases. Plast Reconstr Surg 82:804
Schusterman MA, Reece KP, Kroll SS et al (1991) Use of the A–O plate for mandibular reconstruction in cancer patients. Plast Reconstr Surg 88:588–593
Chow J, Hill J (1986) Primary mandibular reconstruction using the A–O reconstruction plate. Laryngoscope 96:768–773
Poswillo D (1974) Experimental reconstruction of the mandibular joint. Int J Oral Surg 3:400
Guyuron B, Lasa C (1992) Unpredictable growth pattern of costochondral graft. Plast Reconstr Surg 90:880–886
Medra AM (2005) Follow up of mandibular costochondral grafts after release of ankylosis of the temporomandibular joints. Br J Oral Maxillofac Surg 43(2):118–122
Lata J, Kapila BK (2000) Overgrowth of a costochondral graft in temporomandibular joint reconstructive surgery: an uncommon complication. Quintessence Int 31(6):412–414
Fernandes R, Fattahi T, Steinberg B (2006) Costochondral rib grafts in mandibular reconstruction. Atlas Oral Maxillofac Surg Clin North Am 14(2):179–183
Caccamese JF, Ruiz RL, Costello BJ (2005) Costochondral rib grafting. Atlas Oral Maxillofac Surg Clin North Am 13:139–149
Hamaker RC (1981) Irradiated autogenous mandibular grafts in primary reconstructions. Laryngoscope 91:1031–1051
Leipzig B, Cummings CW (1984) The current status of mandibular reconstruction using autogenous frozen mandibular grafts. Head Neck Surg 8:992–998
Schmoper RR (1983) Mandibular reconstruction using a special plate: animal experiments and clinical appearance. J Maxillofac Surg 11:99–108
Burwell RG (1964) Studies in transplantation of bone. VII. The fresh composite homograft-autograft of cancellous bone; an analysis of factors leading to osteogenesis in marrow transplants and in marrow-containing bone grafts. J Bone Joint Surg Br 46:110–140
Rappaport I, Boyne PV, Nethery J (1971) The particulate graft in tumor surgery. Am J Surg 122(6):748–755
Boyne PJ (1969) Restoration of osseous defects in maxillofacial casualities. J Am Dent Assoc 78(4):767–776
Leake DL, Rappoport M (1972) Mandibular reconstruction: bone induction in an alloplastic tray. Surgery 72(2):332–336
Cheung LK, Samman N, Tong AC, Tideman H (1994) Mandibular reconstruction with the Dacron urethane tray: a radiologic assessment of bone remodeling. J Oral Maxillofac Surg 52(4):373–380 (discussion 381)
Cheung LK, Samman N, Chow TW, Clark RKF, Tideman H (1997) A bone graft condensing syringe system for maxillofacial reconstructive surgery. Br J Oral Maxillofac Surg 35:267–270
Kinoshita Y, Kobayashi M, Hidaka T, Ikada Y (1997) Reconstruction of mandibular continuity defects in dogs using poly (l-lactide) mesh and autogenic particulate cancellous bone and marrow: preliminary report. J Oral Maxillofac Surg 55(7):718–723 (discussion 723–724)
Louis P, Holmes J, Fernandes R (2004) Resorbable mesh as a containment system in reconstruction of the atrophic mandible fracture. J Oral Maxillofac Surg 62(6):719–723
Takagi S, Chow LC, Markovic M, Friedman CD, Costantino PD (2001) Morphological and phase characterizations of retrieved calcium phosphate cement implants. J Biomed Mater Res 58(1):36–41
Samman N, Cheung LK, Tideman H (1996) Functional reconstruction of the jaws: new concepts. Ann R Australas Coll Dent Surg 13:184–192
Tideman H, Samman N, Cheung LK (1998) Functional reconstruction of the mandible: a modified titanium mesh system. Int J Oral Maxillofac Surg 27(5):339–345
Warnke PH, Springer IN, Wiltfang J, Acil Y, Eufinger H, Wehmöller M, Russo PA, Bolte H, Sherry E, Behrens E, Terheyden H (2004) Growth and transplantation of a custom vascularised bone graft in a man. Lancet 364(9436):766–770
Celeste AJ, Iannazzi JA, Taylor RC, Hewick RM, Rosen V, Wang EA, Wozney JM (1990) Identification of transforming growth factor beta family members present in bone-inductive protein purified from bovine bone. Proc Natl Acad Sci USA 87(24):9843–9847
Moghadam HG, Urist MR, Sandor GK, Clokie CM (2001) Successful mandibular reconstruction using a BMP bioimplant. J Craniofac Surg 12(2):119–127 (discussion 128)
Herford AS, Boyne PJ (2008) Reconstruction of mandibular continuity defects with bone morphogenetic protein-2 (rhBMP-2). J Oral Maxillofac Surg 66(4):616–624
Clokie CM, Sándor GK (2008) Reconstruction of 10 major mandibular defects using bioimplants containing BMP-7. J Can Dent Assoc 74(1):67–72
Carter TG, Brar PS, Tolas A, Beirne OR (2008) Off-label use of recombinant human bone morphogenetic protein-2 (rhBMP-2) for reconstruction of mandibular bone defects in humans. J Oral Maxillofac Surg 66(7):1417–1425
Glied AN, Kraut RA (2010) Off-label use of rhBMP-2 for reconstruction of critical-sized mandibular defects. N Y State Dent J 76(4):32–35
Herford AS, Cicciù M (2010) Recombinant human bone morphogenetic protein type 2 jaw reconstruction in patients affected by giant cell tumor. J Craniofac Surg 21(6):1970–1975
Hidalgo DA (1991) Aesthetic improvements in free-flap mandible reconstruction. Plast Reconstr Surg 88(4):574–585 (discussion 586–587)
Hidalgo DA, Rekow A (1995) Review of 60 consecutive fibula free flap mandible reconstructions. Plast Reconstr Surg 96:585
Frodel JL Jr, Funk GF, Cappis DT et al (1993) Osseointegrated implants: a comparative study of bone thickness in four vascularized bone flaps. Plast Reconstr Surg 92:449–455
Kuriloff DB, Sullivan MJ (1991) Mandibular re-construction using vascularized bone graft. Otolaryngol Clin North Am 24:1391–1418
O’Leary MJ, Martin PJ, Hayden RE (1994) The neurocutaneous free fibula flap in mandibular reconstruction. Otolaryngol Clin North Am 27(6):1081–1096
Chim H, Salgado CJ, Mardini S, Chen HC (2010) Reconstruction of mandibular defects. Semin Plast Surg 24(2):188–197
Gilbert A (1981) Free vascularized bone grafts. Int Surg 66(1):27–31
Wol KD, Ervens J, Herzog K, Hoefmister B (1996) Experience with the osteocutaneous fibula flap: an analysis of 24 consecutive reconstructions of composite mandibular defects. J Cranio-Maxillofac Surg 24:330–338
Goodacre TE, Walker CJ, Jawad AS, Jackson AM, Brough MD (1990) Donor site morbidity following osteocutaneous free fibula transfer. Br J Plast Surg 43(4):410–412
Thoma A, Levis C, Young JE (2005) Oromandibular reconstruction after cancer resection. Clin Plastic Surg 32(3): 361–375
Soutar DS, Widdowson WP (1986) Immediate reconstruction of the mandible using a re-vascularized segment of radius. Head Neck Surg 8(4):232–246
Jaquet Y et al (2012) Radial forearm free flap donor site morbidity ulnar-based transposition flap vs. split-thickness skin graft. Arch Otolaryngol Head Neck Surg 138(1):38–43
Rockwell GM, Thoma A (2004) Should the donor radius be plated prophylactically after harvest of a radial osteocutaneous flap? A cost-effectiveness analysis. J Reconstr Microsurg 20:297–306
Cummings (1995) Discuss the options for mandibular reconstruction in lateral and anterior arch defects (non-vascularized vs. vascularized bone grafts). Sem Surg Oncol 11:190
Baker SR, Sullivan MJ (1988) Osteocutaneous free scapular flap for one stage mandibular reconstruction. Arch Otolaryngol Head Neck Surg 114:267–277
Urken ML, Buchbinder D, Weinberg H et al (1989) Primary placement of osseointegrated implants in microvascular mandibular reconstruction. Otolaryngol Head Neck Surg 101:58–73
Sullivan MJ et al (1990) The free scapular flap for head and neck reconstruction. Am J Otolaryngol 11:319–327
Lueg E (2004) The anterolateral thigh flap: radial forearm’s “big brother” for extensive soft tissue head and neck defects. Arch Otolaryngol Head Neck Surg 130:813–818
Wei FC, Jain V, Celik N et al (2002) Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg 109:2219–2226
Yu P (2004) Characteristics of the anterolateral thigh flap in a Western population and its application in head and neck reconstruction. Head Neck 26:759–769
Walton RL (1993) Discussion. Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg 92:429–430
Wei FC, Jain V, Suominen S et al (1988) Confusion among perforator flaps: What is a true perforator flap? Plast Reconstr Surg 81:561
Koshima I (2000) Discussion. Free anterolateral thigh flap for reconstruction of head and neck defects following cancer ablation. Plast Reconstr Surg 105:2358–2360
Rajan R (1997) The pectoralis major myocutaneous flap in head and neck reconstruction. Indian J Otolaryngol Head Neck Surg 49(4):368–373
McLeod AM, Robinson DW (1982) Reconstruction of defects involving the mandible and floor of mouth by free osteocutaneous flaps derived from the foot. Br J Plast Surg 35:239–248
Urken ML, Buchbinder D, Costantino PD et al (1998) Oromandibular reconstruction using microvascular composite flaps: report of 210 cases. Arch Otolaryngol Head Neck Surg 124(1):46–55
Manchester WM (1972) Some technical improvements in the reconstruction of the mandible and temporomandibular joint. Plast Reconstr Surg 50(3):249–256
Urken ML, Vickery C, Weinberg H, Buchbinder D, Lawson W, Biller HF (1989) The internal oblique-iliac crest osteomyocutaneous free flap in oromandibular reconstruction. Report of 20 cases. Arch Otolaryngol Head Neck Surg 115(3):339–349
Rogers SN, Lakshmiah SR, Narayan B et al (2003) A comparison of the long-term morbidity following deep circumflex iliac and fibula free flaps for reconstruction following head and neck cancer. Plast Reconstr Surg 112(6):1517–1525
Ramasastry SS, Tucker JB, Swartz WM et al (1984) The internal oblique muscle flap: an anatomic and clinical study. Plast Reconstr Surg 73:721–730
Seikaly H, Calhoun K, Rassekh C, Slaughter D (1997) The clavipectoral osteomyocutaneous free flap. Otolaryngol Head Neck Surg 117(5):547–554
Milroy BC, Korula P (1988) Vascularized innervated transfer of the clavicular head of the pectoralis major muscle in established facial paralysis. Ann Plast Surg 20:273–282
Reid CD, Taylor GI, Waterhouse N (1986) The clavicular head of pectoralis major musculocutaneous free flap. Br J Plast Surg 39:57–65
Seikaly H, Chau J, Li F, Driscoll B, Seikaly D, Calhoun J, Calhoun KH (2003) Bone that best matches the properties of the mandible. J Otolaryngol 32(4):262–265
Pogrel MA, Podlesh S, Anthony JP et al (1997) A comparison of vascularized and nonvascularized bone grafts for reconstruction of mandibular continuity defects. J Oral Maxillofac Surg 55:1200–1206
Granström G, Jacobsson M, Tjellström A (1992) Titanium implants in irradiated tissue: benefits from hyperbaric oxygen. Int J Oral Maxillofac Implants 7:15–25
Marx RE (1983) A new concept in the treatment of osteoradionecrosis. J Oral Maxillofac Surg 41:351–357
AleAlam DS, Nuara M, Christian J (2009) Analysis of outcomes of vascularized flap reconstruction in patients with advanced mandibular osteoradionecrosis. Otolaryngol Head Neck Surg 141:196–201
Dufresne C, Cutting C, Valauri F et al (1987) Reconstruction of mandibular and floor of mouth defects using the trapezius osteomyocutaneous flap. Plast Reconstr Surg 79:687–696
Hirsch DL, Bell RB, Dierks EJ et al (2008) Analysis of microvascular free flaps for reconstruction of advanced mandibular osteoradionecrosis: a retrospective cohort study. J Oral Maxillofac Surg 66:2545–2556
Foley BD et al (2013) Mandibular reconstruction using computer-aided design and computer-aided manufacturing: an analysis of surgical results. J Oral Maxillofac Surg 71(2):e111–e119
Costantino PD, Shybut G, Friedman CD, Pelzer HL, Masini M, Shindo ML, Sisson GA Sr (1990) Segmental mandibular regeneration by distraction osteogenesis: an experimental study. Arch Otolaryngol Head Neck Surg 116:535–545
Costantino PD, Johnson CS, Friedman CD, Sisson GA (1995) Bone regeneration within a human segmental mandible defect: a preliminary report. Am J Otolaryngol 16:56–65
Herford AS (2004) Use of a plate-guided distraction device for transport distraction osteogenesis of the mandible. J Oral Maxillofac Surg 62:412–420
González-García R, Naval-Gías L (2010) Transport osteogenesis in the maxillofacial skeleton: the outcomes of a versatile reconstruction method following tumor ablation. Arch Otolaryngol Head Neck Surg 136:243–250
Malawer MM, Chou LB (1995) Prosthetic survival and clinical results with use of large segment replacements in the treatment of high-grade bone sarcomas. J Bone Joint Surg Am 77:1154–1165
Riede U, Luem M, Ilchmann T, Eucker M, Ochsner PE (2007) The M.E Müller straight stem prosthesis: 15 year follow-up. Survivorship and clinical results. Arch Orthop Trauma Surg 127:587–592
Tideman H, Lee S (2006) The TL endoprosthesis for mandibular reconstruction—a metallic yet biological approach. Asian J Oral Maxillofac Surg 18:5
Lee S, Goh BT, Tideman H, Stoelinga PJ, Jansen JA (2009) Modular endoprosthesis for mandibular body reconstruction: a clinical, micro-CT and histologic evaluation in eight Macaca fascicularis. Int J Oral Maxillofac Surg 38:40–47
Goh BT, Lee S, Tideman H, Stoelinga PJ (2009) Replacement of the condyle and ascending ramus by a modular endoprosthesis in Macaca fascicularis part 1: a clinical and radiographic study. J Oral Maxillofac Surg 67:1392–1400
Wong RC, Tideman H, Merkx MA, Jansen J, Goh SM (2012) The modular endoprosthesis for mandibular body replacement. Part 2: finite element analysis of endoprosthesis reconstruction of the mandible. J Craniomaxillofac Surg 40:e487–e497
Gronthos S (2004) Reconstruction of human mandible by tissue engineering. Lancet 9436:735–736
Warnke PH, Wiltfang J, Springer I, Acil Y, Bolte H, Kosmahl M et al (2006) Man as living bioreactor: fate of an exogenously prepared customized tissue-engineered mandible. Biomaterials 17:3163–3167
Warnke PH, Springer IN, Acil Y, Julga G, Wiltfang J, Ludwig K et al (2006) The mechanical integrity of in vivo engineered heterotopic bone. Biomaterials 7:1081–1087
Heliotis M, Lavery KM, Ripamonti U, Tsiridis E, di Silvio L (2006) Transformation of a prefabricated hydroxyapatite/osteogenic protein-1implant into a vascularised pedicled bone flap in the human chest. Int J Oral Maxillofac Surg 3:265–269
Boyne PJ (1971) Transplantation, implantation and grafts. Dent Clin North Am 15:433–453
Blake F, Bubenheim M, Heiland M et al (2008) Retrospective assessment of the peri-implant mucosa of implants inserted in reanastomosed or free bone grafts from the fibula or iliac crest. Int J Oral Maxillofac Implants 23:1102–1108
Rohner D, Jaquiery C, Kunz C, Bucher P, Maas H, Hammer B (2003) Maxillofacial reconstruction with prefabricated osseous free flaps: a 3-year experience with 24 patients. Plast Reconstr Surg 112:748–757
Marunick MT, Roumanas ED (1999) Functional criteria for mandibular implant placement post resection and reconstruction for cancer. J Prosthet Dent 82(1):107–113
Mücke T, Hölzle F, Loeffelbein DJ, Ljubic A, Kesting M, Wolff KD, Mitchell DA (2011) Maxillary reconstruction using microvascular free flaps. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 111(1):51–57. doi:10.1016/j.tripleo.2010.03.042
Garrett N, Roumanas ED, Blackwell KE, Freymiller E, Abemayor E, Wong WK, Gerratt B, Berke G, Beumer J 3rd, Kapur KK (2006) Efficacy of conventional and implant-supported mandibular resection prostheses: study overview and treatment outcomes. J Prosthet Dent 96(1):13–24
Raoul G, Ruhin B, Briki S, Lauwers L, Haurou Patou G, Capet JP, Maes JM, Ferri J (2009) Microsurgical reconstruction of the jaw with fibular grafts and implants. J Craniofac Surg 20(6):2105–2117. doi:10.1097/SCS.0b013e3181bec611
Salinas TJ, Desa VP, Katsnelson A, Miloro M (2010) Clinical evaluation of implants in radiated fibula flaps. J Oral Maxillofac Surg 68(3):524–529. doi:10.1016/j.joms.2009.09.104
Foster RD, Anthony JP, Sharma A, Pogrel MA (1999) Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head Neck 21(1):66–71
Weischer T, Mohr C (1999) Ten-year experience in oral implant rehabilitation of cancer patients: treatment concept and proposed criteria for success. Int J Oral Maxillofac Implants 14(4):521–528
Werkmeister R, Szulczewski D, Walteros-Benz P, Joos U (1999) Rehabilitation with dental implants of oral cancer patients. J Craniomaxillofac Surg 27(1):38–41
Shaw RJ, Sutton AF, Cawood JI, Howell RA, Lowe D, Brown JS, Rogers SN, Vaughan ED (2005) Oral rehabilitation after treatment for head and neck malignancy. Head Neck 27(6):459–470
Sclaroff A, Haughey B, Gay WD, Paniello R (1994) Immediate mandibular reconstruction and placement of dental implants at the time of ablative surgery. Oral Surg Oral Med Oral Pathol 78(6):711–717
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Kumar, B.P., Venkatesh, V., Kumar, K.A.J. et al. Mandibular Reconstruction: Overview. J. Maxillofac. Oral Surg. 15, 425–441 (2016). https://doi.org/10.1007/s12663-015-0766-5
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DOI: https://doi.org/10.1007/s12663-015-0766-5