Mandibular reconstruction

As in the cases of maxillary reconstruction, the most frequent causes of jaw affection are resection due to cancer and trauma, as well as congenital alterations such as severe hemifacial microsomia.

Because of the greater use of less invasive techniques to treat cancer, one of the causes that has been increasing in recent years is mandibular osteoradionecrosis or death of mandibular bone tissue induced by radiotherapy.

The aesthetic and functional objectives in mandibular reconstruction are to allow the primary closure of the wound, avoid the formation of fistulas, maintain the mandibular margin that gives the contour to the face and achieve oral rehabilitation with osseointegrated dental implants allowing normal occlusion.

This reconstruction should ideally be performed by a team specialized in microsurgical reconstruction, with appropriate training and focused before and during surgery only to rebuild.

Alejandro Ramírez