Modular endoprosthesis for mandibular body reconstruction: a clinical, micro-CT and histologic evaluation in eight Macaca fascicularis.
Publication year
2009Source
International Journal of Oral and Maxillofacial Surgery, 38, 1, (2009), pp. 40-47ISSN
Publication type
Article / Letter to editor

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Organization
Oral and Maxillofacial Surgery
Dentistry
Journal title
International Journal of Oral and Maxillofacial Surgery
Volume
vol. 38
Issue
iss. 1
Page start
p. 40
Page end
p. 47
Subject
NCEBP 2: Evaluation of complex medical interventions; NCMLS 3: Tissue engineering and pathology; ONCOL 3: Translational researchAbstract
This paper presents the results of an animal experiment, in which a modular endoprosthesis is tested to replace a resected part of the mandible. The prostheses were fixed with polymethacrylate (PMMA) cement into the medullar space of the stumps. Clinical, radiologic, micro-computed tomographic and histologic evaluations were made after 3 and 6 months on four Macaca fascicularis for each implantation time. The prosthesis had not loosened but there were some loose screws that had caused fistulas in three animals. The stems of the modules were stably fixed with PMMA cement, surrounded by a fibrous capsule with inflammatory cells. This capsule was thinner in the 6-month group and showed less inflammatory infiltrate compared with the 3-month group; this was not statistically significant. There was an increase in woven bone surrounding the modules after 6 months. After 3 months of implantation, there was a considerable inflammatory reaction in the soft tissues surrounding the module, which subsided over following 3 months. The results are encouraging, but a longer period of follow-up is required to assess its application in a clinical setting, and some design drawbacks need to be addressed.
This item appears in the following Collection(s)
- Academic publications [204859]
- Faculty of Medical Sciences [81031]
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