Evaluation of 15 mandibular reconstructions with Dumbach Titan Mesh-System and particulate cancellous bone and marrow harvested from bilateral posterior ilia
Evaluation of 15 mandibular reconstructions with Dumbach Titan Mesh-System and particulate cancellous bone and marrow harvested from bilateral posterior ilia
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DOI：
10.1016/j.tripleo.2008.12.018
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发表时间：
2009-04-01
期刊：
影响因子：
--
通讯作者：
Takato, Tsuyoshi
中科院分区：
文献类型：
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作者：
Iino, Mitsuyoshi;Fukuda, Masayuki;Takato, Tsuyoshi
本研究报告了15例下颌骨重建，应用Dumbach Titan网片系统和从双侧髂骨后段采集的颗粒状松质骨和骨髓。所有病例均显示节段性缺陷。11例患者为恶性肿瘤患者。6例患者接受40~50Gy射线照射。1例即刻重建，14例二期重建。13例下颌骨修复成功。13例患者中，9例完成重建，无并发症，4例出现并发症。2例重建完全失败。总成功率为87%。统计分析揭示了下颌骨缺损的程度，而不是原发疾病的恶性程度或放射治疗的结果
This study reports on 15 mandibular reconstructions using the Dumbach Titan Mesh-System and particulate cancellous bone and marrow harvested from bilateral posterior ilia. All cases showed segmental defects. Eleven cases involved patients with malignant tumor. Six patients had received irradiation of 40-50 Gy. Reconstructions were performed immediately in 1 patient and secondarily in the remaining 14 patients. In 13 cases, mandibles were successfully reconstructed. Of these 13 patients, 9 reconstructions were completed without complications, whereas the other 4 cases showed complications. In 2 cases, reconstruction failed completely. Overall success rate was 87%. Statistical analysis revealed the extent of mandibular defect, but not malignancy of the original disease or radiotherapy of