1.Free vascularized fibular flap for mandibular reconstruction.
Jong Ho LEE ; Ku Jong SEO ; Kwang PARK ; Moo Gang CHUNG
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1992;18(4):109-120
No abstract available.
Mandibular Reconstruction*
2.A case of mandibular reconstruction using fibular osteospectocutaneous flap.
Kwang Hyun KIM ; Pil Sang CHUNG ; Kyung Won MIN
Korean Journal of Otolaryngology - Head and Neck Surgery 1992;35(3):452-456
No abstract available.
Mandibular Reconstruction*
3.An experience with a free vascularized myo-osteochondral rib graft for mandibular reconstruction.
Jong Ho LEE ; Ku Jong SEO ; Kwang PARK ; Moo Kang JUNG ; Gee Duk PARK ; Jung Jae JEONG
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1993;19(2):115-124
No abstract available.
Mandibular Reconstruction*
;
Ribs*
;
Transplants*
4.A simple technique for repositioning of the mandible by a surgical guide prepared using a three-dimensional model after segmental mandibulectomy.
Akinori FUNAYAMA ; Taku KOJIMA ; Michiko YOSHIZAWA ; Toshihiko MIKAMI ; Shohei KANEMARU ; Kanae NIIMI ; Yohei ODA ; Yusuke KATO ; Tadaharu KOBAYASHI
Maxillofacial Plastic and Reconstructive Surgery 2017;39(6):16-
BACKGROUND: Mandibular reconstruction is performed after segmental mandibulectomy, and precise repositioning of the condylar head in the temporomandibular fossa is essential for maintaining preoperative occlusion. METHODS: In cases without involvement of soft tissue around the mandibular bone, the autopolymer resin in a soft state is pressed against the lower border of the mandible and buccal and lingual sides of the 3D model on the excised side. After hardening, it is shaved with a carbide bar to make the proximal and distal parts parallel to the resected surface in order to determine the direction of mandibular resection. On the other hand, in cases that require resection of soft tissue around the mandible such as cases of a malignant tumor, right and left mandibular rami of the 3D model are connected with the autopolymer resin to keep the preoperative position between proximal and distal segments before surgical simulation. The device is made to fit the lower border of the anterior mandible and the posterior border of the mandibular ramus. The device has a U-shaped handle so that adaptation of the device will not interfere with the soft tissue to be removed and has holes to be fixed on the mandible with screws. RESULTS: We successfully performed the planned accurate segmental mandibulectomy and the precise repositioning of the condylar head by the device. CONCLUSIONS: The present technique and device that we developed proved to be simple and useful for restoring the preoperative condylar head positioning in the temporomandibular fossa and the precise resection of the mandible.
Hand
;
Head
;
Mandible*
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Mandibular Osteotomy*
;
Mandibular Reconstruction
5.TEMPOROMANDIBULAR JOINT RECONSTRUCTION USING COSTOCHONDRAL GRAFT: CASE REPORTS
Il Kyu KIM ; Sang Yup NOH ; Seong Seob OH ; Jin Ho CHOI ; Nam Sik OH
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1998;20(2):106-111
reconstruction. We performed costochondral grafting in the mandibular reconstruction including condyle replacement in 3 patients, which 2 of ankylosed cases and 1 destructed case. In one case, unexpected fracture of costochondral junction has developed at post-operative 2 months, but, normal mouth opening and facial appearance have been acheived by continuing exercise. These patients showed maximum mouth opening of 35-40 mm and no restriction of lateral side movement. They have been improved esthetics and function. We proposed that the costochondral graft is one of the useful method for functional reconstruction of defected mandibular condyle.]]>
Esthetics
;
Humans
;
Mandibular Condyle
;
Mandibular Reconstruction
;
Mouth
;
Temporomandibular Joint
;
Transplants
6.Use of a Y-Shaped Plate for Intermaxillary Fixation.
Tae Hoon KIM ; Il Hyung YANG ; Kyung Won MINN ; Ung Sik JIN
Archives of Craniofacial Surgery 2015;16(2):96-98
Maxillomandibular fractures usually require intermaxillary fixation as a means to immobilize and stabilize the fracture and to re-establish proper occlusion. Arch bars or intermaxillary fixation screws cannot be used for edentulous patients or for patients who have poor dental health. Here, we present a case of repeated intermaxillary fixation failure in a patient weak alveolar rigidity secondary to multiple dental implants. Because single-point fixation screws were not strong enough to maintain proper occlusion, we have used Y-shaped plates to provide more rigid anchoring points for the intermaxillary wires. We suggest that this method should be considered for patients in whom conventional fixation methods are inappropriate or have failed.
Dental Implants
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Humans
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Jaw Fixation Techniques
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Mandible
;
Mandibular Reconstruction
7.Preliminary clinic study on computer assisted mandibular reconstruction: the positive role of surgical navigation technique.
Jin Wei HUANG ; Xiao Feng SHAN ; Xu Guang LU ; Zhi Gang CAI
Maxillofacial Plastic and Reconstructive Surgery 2015;37(7):20-
BACKGROUND: The objectives of the present study were to investigate the reliability and outcomes of computer-assisted techniques in mandibular reconstruction with a fibula flap and verify whether the surgical navigation system was feasible in mandible reconstructive surgery. METHODS: Eight cases were enrolled in the computer assisted surgery (CAS) group and 14 cases in the traditional group. The shaping and fixation of the fibula grafts were guided by computer assisted techniques, which could be monitored with the BrainLAB surgical navigation system. The variation of mandible configuration was evaluated by CT measurement in the Mimics software, including the variation of length, width, height and gonial angle of the mandible. The 3D facial soft tissue alteration was also analyzed in 3D chromatogram by Geomagic software. RESULTS: All 22 fibula flaps survived. The mandibular configurations and facial contours had a better clinic result in the CAS group. The length, width, height and gonial angle of the reconstructive mandible were more similar to the original one. The Wilcoxon rank sum test analysis suggested significant differences in the measurements. The chromatographic analysis also visually showed superiority over the traditional group. CONCLUSIONS: The computer assisted surgical navigation method used in mandibular reconstruction is feasible and precise for clinical application. The contour of the reconstructed mandible and facial symmetry are improved with computer techniques.
Fibula
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Mandible
;
Mandibular Reconstruction*
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Methods
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Surgery, Computer-Assisted
;
Transplants
9.Virtual Surgical Planning and Stereolithography-guided Osteotomy for 3 Dimensional Mandibular Reconstruction with Free Fibula Osseous Flaps: A Case Report
Woong NAM ; Nicholas MAKHOUL ; Brent WARD ; Joseph I HELMAN ; Sean EDWARDS
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2012;34(5):337-342
mandibular reconstructions because of its favorable osseous characteristics. However, disadvantages, such as the time-consuming reconstructive step, difficulty in performing the osteotomies to precisely recreate the shape of the missing segment of mandible and poor bone-to-bone contact play a role in making the surgeons look for alternative flaps. With the advent of computerized design software, which accurately plans complex 3-dimensional reconstructions, has become a process that is more efficient and precise. However, the ability to transfer the computerized plan into the surgical field with stereolithographic models and guides has been a significant development in advancing reconstruction in the maxillofacial regions. The ability to "pre-plan" the case, mirror and superimpose natural structures into diseased and deformed areas, as well as the ability to reproduce these plans with good surgical precision has decreased overall operative time, and has helped facilitate functional and esthetic reconstruction. We describe a complex case treated with this technique, showing the power and elegance of computer assisted maxillofacial reconstruction from the University of Michigan, Oral and Maxillofacial Surgery.]]>
Fibula
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Mandible
;
Mandibular Reconstruction
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Michigan
;
Operative Time
;
Osteotomy
;
Surgery, Oral
10.Reconstruction of Mandibular Bone Defect Using a Titanium Mesh with Autogenous Particulate Cortical Bone Graft by an Intraoral Approach: A Case Report
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2012;34(6):466-472
mandibular continuity due to trauma, neoplasm, or infection results in major esthetic and biologic compromise. The reconstruction of the mandibular bone defect still poses a challenge to oral and maxillofacial surgeons. There have been a number of variety graft materials. Among them, free block bone graft with rigid fixation has been widely used. However, cases using free block bone grafts may lead to a marked invasion of the donor site, mal-union, and absorption of the block bone. In this respect, particulate cortical bone using a titanium mesh tray can be an effective alternative option in order to achieve a proper bone contour and good oral rehabilitation. We have developed an intraoral approach for the mandibular reconstruction method using a titanium mesh tray with autogenous particulate cortical bone graft.]]>
Absorption
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Humans
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Mandible
;
Mandibular Reconstruction
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Tissue Donors
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Titanium
;
Transplants