Review: MANDIBULAR RECONSTRUCTION–VASCULARIZED BONE AND REGENERATIVE BONE MARROW GRAFTS

Abstract

Oral and maxillofacial surgeons acquire specialized skills in mandibulectomy and subsequent reconstruction of oral cancer; both procedures are directed toward restoration of not only aesthetics but also the most basic oral functions. It would be beneficial for the patients if expert physicians conversant with oral and maxillofacial surgery and oral functions are involved in the management of such cases. In cancer treatment, ‘treatment of the cancer itself’ and ‘disability/rehabilitation medicine’ for any resulting impairment are essential, just like a set of wheels, and reconstruction fills the role of an axle connecting these wheels. Reconstructive surgery is a science and an art. To achieve favorable outcomes, surgeons need to select procedures by which they can perform to the best of their ability and demonstrate their skills. Oral and maxillofacial reconstruction must improve both functionality and aesthetics, and despite the technical difficulties involved, due consideration must be given to both aspects.