고압증기소독한 자가골을 이용한 하악골 결손부의 즉시 재건술

Immediate mandibular reconstruction with autoclaved autogenous mandible

The ideal goal of the maxillofacial reconstruction is a rehabilitation of the anatomic, esthetic, psychologic and functional problems. This is to report three cases of reconstruction after partial mandibulectomy by using of autogenous bone. In one case of reconstruction with only autoclaved bone, we experienced a failure because of breakdown of the oral mucosa and exposure of the graft. In two cases with combination of PMCB and autoclaved autogenous bone which was covered by healthy well-vascularized soft tissue, however, we obtained good functional and esthetic results. Based on these results, it is suggested that an autogenous autoclaved bone, although not considered as an ideal reconstruction material due to its absence of osteogenic potency, may be used successfully when combined with PMCB because it can provide a framework corresponding to the size and shape of the mandibular defect.