Abstract
second surgery, with common donor sites that include the iliac crest, iliac marrow, and rib. In situations where soft tissue is also removed, the primary reco~t~ction may necessitate the use of a microvascular composite-free tissue flap. In the case of preadolescent mandibular discontinuity, these osseous graftingtechniques have been shown to be unnecessary in some cases. Several studies illustrate an alternative method to treat rn~~b~~ dis~ontin~ty in preadolescents that can decrease treatment morbidity by potentially eliminating a surgical procedure and an additional surgical site. In 1983, Boynel reported a series of six cases of preadolescent mandibular resections. In all of the cases, treatment was with osseous resection and immediate placement of a titanium mesh implant; no osseous graft was used. In all of the cases, regeneration of bone was radiographically evident 2 to 3 months after resection, and osseous formation appeared to be complete in 9 months. Kamegai et al2 reported the use of the previous
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