A simplified method for mandibular repositioning using acrylic bone cement during segmental mandibulectomy

Loss of mandibular continuity due to segmental mandibulectomy leads to esthetic and functional problems. Restoration of mandibular continuity after segmental mandibulectomy is one of the chalenges of reconstructive surgery. In this paper, a simple technique is described which utilizes acrylic bone c...

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Bibliographic Details
Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 42; no. 10; pp. 1091 - 1093
Main Authors KAWAI, Tosihiko, HACHIYA, Hiroshi, SHIROZU, Takamasa, NARITA, Takanori, IKE, Masao, MIYACHI, Hitoshi
Format Journal Article
LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 1996
Subjects
bone cement
mandibular reconstruction
mandibular replacement
segmental mandibulectomy
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.42.1091

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Summary:Loss of mandibular continuity due to segmental mandibulectomy leads to esthetic and functional problems. Restoration of mandibular continuity after segmental mandibulectomy is one of the chalenges of reconstructive surgery. In this paper, a simple technique is described which utilizes acrylic bone cement for a template of the mandible. Before mandibular resection, mandibular continuity is restored with soft acrylic bone cement contained in a flexible tube. The tube is attached to residual sites with small monocortical screws. The tube is held until the cement solidifies. When the bone cement has hardened, the tube can be removed. After mandibular resection, the tube is replaced to realign the mandibular segment and correctly restore the patient's occlusion and facial esthetics.
ISSN:0021-5163
2186-1579
DOI:10.5794/jjoms.42.1091