Author/Year [ref] | Study design | No. of pts | Mandibular reconstruction | Defect size | Etiology | Type of membrane | Graft | Type of fixation | Outcome |
---|---|---|---|---|---|---|---|---|---|
Kinoshita 2004 [33] | case series (1995 to 2001) | 62 | Mandibulectomy (segmental defect and hemimandibulectomy) | _ | malignant (22) and benign (30) tumors, cysts (5), osteomyelitis (2), alveolar atrophy (1) trauma (2) | Absorbable PLLA mesh | Autologous cancellous bone graft + bone marrow | +/- stainless steel wires | At six months post-operation: Excellent (markedly effective) 56.5% Good (effective) 27.4% Poor (not effective) 16.1% X-ray of the regenerated bone: 0 to 10% bone resorption in 31 cases 10% to 20% in six cases 20% to 30% in one case |
Kinoshita 2000 [133] | case series (1995 to 1998) | 41 | Segmental defect or large partial defects mandibulectomy | _ | malignant (19) and benign (22) tumors | Â | Â | - | Excellent: 19/41 (46.3%) Good 13/41 (31.7%) Poor 9/41 (22.2%) (local infection) 86.5% Success rate Five years: no problems from PLLA and good osseointegration |
Kinoshita 1996 [57] | case series | 2 | Segmental defect or large partial defect | right to left molar areas | tumor | Â | Â | stainless steel wires | At three months: full bone regeneration |