New method of alloplastic reconstruction of the mandible after subtotal mandibulectomy for medication-related osteonecrosis of the jaw

Medication-related osteonecrosis of jaws (MRONJ) may require subtotal mandibulectomy, which can lead to severe mandibular defects.1 Reconstruction of the mandible using osseous free flaps causes morbidity at the donor site, and is often complicated by coexisting conditions and the often advanced age of the patient.2 Alloplastic reconstruction using mandibular reconstruction plates may be followed by fracture or exposure of the plate,3,4 whereas not to reconstruct the defect results in poor functional outcome and disfigurement.

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