Mandibular reconstruction with an alloplast

Abstract

The mandible plays a major role in definition of lower facial contour, airway protection and support for the tongue, dentition and the muscles of the floor of the mouth. Interruption of mandibular continuity, therefore, produces both cosmetic and functional derangements. The restoration of a patient, therefore, into acceptable cosmetics and satisfactory function after surgical ablation is a challenge for the oral and maxillofacial surgeon. This was a case of composite post-ablative defect which was reconstructed with a non-biological material (alloplast). The alloplast got exteriorised intraorally within a period of 1 year with resultant infection and had to be removed. It was concluded that alloplasts served only as temporary stabilisation in delayed reconstructtion of mandibular continuity defects. The reasons for delay may, however, vary. Resource development is necessary to facilitate surgical skills acquisition in free microvascular techniques of reconstruction which offers better and sustainable outcomes.