REVIEW OF LITERATURE CONCERN RECONSTRUCTION OF THE MANDIBLE AND THE MAXILLA-PAST, PRESENT AND FUTURE

Mihaela Mitrea, Edlibi Al Hage Walid, Cătălina Iulia Săveanu, Loredana Liliana Hurjui,  Simona Niculescu

Abstract:

The reconstruction of segmental mandibular and maxillary defects remains a challenge for the reconstructive surgeon, from both a functional and an esthetic point of view. This paper reviews the history of oral cavity, especially of the maxillary and mandibular defects reconstruction over the past 60 years and evolution of surgical and prothetic reconstruction, examines the different techniques currently in use for mandibular and maxillary reconstruction as related to a range of etiologies, including the different bone donor sites, the alternative to free flaps, as welll the contribution of computer-assisted surgey. Osseouss free flaps allows relable and satisfying outcomes. Locoregional flap, distraction osteogenesis, induced membrane techniques are other potential options in less favorable cases.  The introduction of microvascular surgery, the description and undestanding of the different soft tissue and composite tissues available for reconstruction along with technologic development in osseointegration and virtual surgical planning have transformed the lives of patients treated surgically for oral tumors.

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