New technique for endoscopically-assisted particulate graft reconstruction of the mandible

• Main Authors: Ferretti, C. (Author), Heliotis, M. (Author), Reyneke, J. (Author), Ripamonti, U. (Author)
• Format: Article
• Language: English
• Published: Churchill Livingstone 2018
• Subjects: ameloblastoma; Ameloblastoma; Article; bone graft; bone plate; Bone Plates; bone transplantation; Bone Transplantation; bone wire; Bone Wires; Cancellous Bone; cancer surgery; case report; clinical article; cortical bone; Cortical Bone; devices; endoscopic; endoscopy; Endoscopy; follow up; human; Humans; incision; Jaw Neoplasms; jaw tumor; mandible; Mandible; mandible reconstruction; mandible tumor; procedures; reconstructive surgery; Reconstructive Surgical Procedures; silicone; trabecular bone; transplantation
• Online Access: View Fulltext in Publisher

 The reconstruction of mandibular defects using particulate grafts is a proven technique that restores the osseous anatomy effectively. Secondary osseous reconstruction can be accomplished with endoscopic assistance and reduced-access incisions if an intermediate spacer is placed during resection. Two patients required reconstruction after resection of mandibular ameloblastomas. We used a modified protocol that involved the implantation of a graft of particulate corticocancellous bone after removal of the spacer, and prepared the recipient site under endoscopic guidance with small extraoral incisions. The grafts healed uneventfully and matured into ossicles suitable for the placement of osseointegrated implants. © 2018 The British Association of Oral and Maxillofacial Surgeons