MANDIBULAR RECONSTRUCTION: TECHNIQUE, INDICATIONS AND RESULTS
Keywords:
Mandibular Reconstruction, Fibula Free Flap, Virtual Surgical Planning, Rigid Internal Fixation, Tissue Engineering, Bone GraftAbstract
Mandibular reconstruction is essential to restore function and aesthetics after bone loss resulting from trauma or tumor resection. The gold standard continues to be the use of autologous grafts, such as the fibula free flap, which offers good bone volume and support for rehabilitation. This review analyzes current techniques, highlighting that the integration of digital technologies, such as virtual surgical planning (VSP) and 3D printing of guides, has significantly increased surgical precision and reduced operative time. The superiority of reconstruction bars over miniplates in terms of stability and lower complication rate is discussed. Less invasive alternatives, such as mandibular ramus grafts, show promise for the elderly. Furthermore, advances in tissue engineering, such as bioengineered vascularized bones, point to a future with less dependence on donor areas.
