BME 2017: 6th International Conference on the Development of Biomedical Engineering in Vietnam (BME6) pp 437-441 | Cite as
Alloplastic Reconstruction of the Mandible—Where Are We Now?
Abstract
Mandibular segmental defects happen as a result of trauma, infection or resection. There exist no ideal method to repair such defects. Each method advocated has its advantages and disadvantages. Alloplastic replacement has been advocated but problems exist. This paper reviews the challenges faced for reconstructing mandible defects and the different attempts to improve alloplastic replacement with an emphasis on previous research done on using a modular endoprosthesis for mandibular body replacement. The authors outline previous research in adapting a titanium endoprosthesis to the mandible and future avenues for research.
Keywords
Mandible defects Alloplastic reconstructionPreview
Unable to display preview. Download preview PDF.
Notes
Acknowledgements
Emeritus Professor Henk Tideman, University of Hong Kong; Professor John Jansen, Professor Matthias Merkx, Radboud University Nijmegen; Dr Goh Bee Tin, National Dental Centre Singapore.
References
- 1.Wong RC, Tideman H, Kin L, Merkx MA (2010) Biomechanics of mandibular reconstruction: a review. Int J Oral Maxillofac Surg 39:313–319CrossRefGoogle Scholar
- 2.Hylander WL (1984) Stress and strain in the mandibular symphysis of primates. A test of competing hypotheses. Am J Phy Anthrop 64:1–46CrossRefGoogle Scholar
- 3.Tideman H, Lee S (2006) The TL endoprosthesis for mandibular reconstruction. A metallic yet biological approach (abstract). Asian J Oral Maxillofac Surg 18:5CrossRefGoogle Scholar
- 4.Lee S, Goh BT, Tideman H, Stoelinga PJW (2008) Modular endoprosthesis for mandibular reconstruction: a preliminary animal study. Int J Oral Maxillofac Surg 37:935–942CrossRefGoogle Scholar
- 5.Lee S, Goh BT, Tideman H, Stoelinga PJW, Jansen J (2009) Modular endoprosthesis for mandibular reconstruction: a clinical, micro-computed, tomographic and histologic evaluation in 8 macaca fascicularis. Int J Oral Maxillofac Surg 38:40–47CrossRefGoogle Scholar
- 6.Wong RC, Lee S, Tideman S, Merkx MAW, Jansen J, Liao K (2011) Effect of replacement of mandibular defects with a modular endoprosthesis on bone mineral density in a monkey model. Int J Oral Maxillofac Surg 40:633–639CrossRefGoogle Scholar
- 7.Wong RC, Tideman H, Merkx MAW, Jansen J, Goh SM, Liao K (2011) Review of biomechanical models used in studying the biomechanics of reconstructed mandibles. Int J Oral Maxillofac Surg 40:393–400CrossRefGoogle Scholar
- 8.Wong RC, Tideman H, Merkx MAW, Jansen J, Goh SM (2012) The mandibular modular endoprosthesis for body replacement. Part 1: mechanical testing of the reconstruction. J Cranio-Maxillofac Surg 40(8):e479–486Google Scholar
- 9.Wong RC, Tideman H, Merkx MAW, Jansen J, Goh SM (2012) The modular endoprosthesis for mandibular body replacement. Part 2: Finite element analysis of the reconstruction. J Cranio-Maxillofac Surg 40(8):e487–e497Google Scholar