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Journal of Maxillofacial and Oral Surgery
Published in: Journal of Maxillofacial and Oral Surgery 4/2016

01-12-2016 | Review Paper

Mandibular Reconstruction: Overview

Authors: Batchu Pavan Kumar, V. Venkatesh, K. A. Jeevan Kumar, B. Yashwanth Yadav, S. Ram Mohan

Published in: Journal of Maxillofacial and Oral Surgery | Issue 4/2016

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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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Metadata
Title
Mandibular Reconstruction: Overview
Authors
Batchu Pavan Kumar
V. Venkatesh
K. A. Jeevan Kumar
B. Yashwanth Yadav
S. Ram Mohan
Publication date
01-12-2016
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery / Issue 4/2016
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-015-0766-5

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