I Bairikov, D Dedikov, П Столяренко
Objective. To develop the method of the lower jaw defects reconstruction of different origin using the vascularized autograft combined with the nonwoven titanium material.
Material and methods. We analyzed the treatment of posttraumatic deformities of the lower jaw in 47 patients. The reconstruction technique can be used both with and without massive soft tissue flaps on the vascular pedicle.
Results and discussion. The technique of the individual bioengineered construction fabrication from NTMSP with through porosity for mandibular defect replacement was developed and technologically perfected. We have developed a technique for producing a complex implant to replace the lower jaw after half resection of the lower jaw with cxarticulation of the condylar head. The technology allows to obtain bioengineered composition with the structure completely corresponding to the human bone tissue, with the possibility of dental rehabilitation in polyclinic
conditions, with complete consolidation of the bone wound edges; it doesn’t require taking bone autografts from other regions and as a consequence, it doesn't cause trauma or reduce physical characteristics of the bones used for that purpose.
Conclusion. The suggested by us technique of the jaw defects replacement with the use of the vascularised bone autograft in combination with the NTMSP can be used in the clinical practice as the alternative when choosing the method of reconstruction, as it is more simple and less traumatic. Individual fabrication of the bioengineered construct allows for increased cosmetic and functional results.
