ArticleDento maxillo facial radiology2022
Increased rate of pseudarthrosis in the anterior intersegmental gap after mandibular reconstruction with fibula free flaps: a volumetric analysis.
Article in Dento maxillo facial radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 23 citations in OpenAlex.
- Postoperative radiotherapy and external carotid artery diameter: is there a link to osseous free flap osteoradionecrosis risk?Clinical oral investigations · 2026Article
- Prospective functional assessment after mandible reconstruction and bone healing assessment.Clinical oral investigations · 2025Article
- Local mechanical stresses can explain the mechanoregulation of bone healing after mandibular reconstruction: an in silico study.Clinical oral investigations · 2025Article
- First-in-human application of dynamic fluoroscopic analysis to quantify intersegmental motion in mandibular free flap reconstruction.Scientific reports · 2025Article
- Osteoradionecrosis in osseous free flaps after maxillofacial reconstruction: a single-center experience.Frontiers in oncology · 2025Article
- Article
- Volumetric evaluation of osteotomy gap following mandibular bilateral sagittal split osteotomy using a novel semi-automated approach: a pilot study.Clinical oral investigations · 2024Article
- Comparative study of CAD/CAM reconstruction and miniplates for patient-specific fixation in LCL-type mandibular reconstruction.Frontiers in oncology · 2024Article
- Impact of the adjacent bone on pseudarthrosis in mandibular reconstruction with fibula free flaps.Head & face medicine · 2023Article
- Measurement of Thickness at the Inferior Border of the Mandible Using Computed Tomography Images: A Retrospective Study including 300 Japanese Cases.Tomography (Ann Arbor, Mich.) · 2023Article
- Clinical and Technical Validation of Novel Bite Force Measuring Device for Functional Analysis after Mandibular Reconstruction.Diagnostics (Basel, Switzerland) · 2023Article
- Osseous Union after Jaw Reconstruction with Fibula-Free Flap: Conventional vs. CAD/CAM Patient-Specific Implants.Cancers · 2022Article
- Towards mechanobiologically optimized mandible reconstruction: CAD/CAM miniplates vs. reconstruction plates for fibula free flap fixation: A finite element study.Frontiers in bioengineering and biotechnology · 2022Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPseudarthrosis after mandibular reconstruction leads to chronic overload of the osteosynthesis and impedes dental rehabilitation. This study evaluates the impact of gap site on osseous union in mandible reconstruction using a new volumetric analysis method with repeated cone-beam computed tomography (CBCT).
methodsThe degree of bone regeneration was evaluated in 16 patients after mandible reconstruction with a fibula free flap and patient-specific reconstruction plates. Percentual bone volume and width changes in intersegmental gaps were retrospectively analyzed using a baseline CBCT in comparison to a follow-up CBCT. Patients' characteristics, plate-related complications, and gap sites (anterior/posterior) were analyzed. Detailed assessments of both gap sites (buccal/lingual/superior/inferior) were additionally performed.
resultsIntersegmental gap width (
conclusionsA methodology framework has been developed that allows to quantify pseuarthrosis in reconstructed mandibles using CBCT imaging. The study identifies the anterior segmental gap as a further risk factor for pseudarthrosis in reconstructions with CAD/CAM reconstruction plates. Future research should evaluate whether this outcome is related to the biomechanics induced at this site.
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