Mandibular Reconstruction
Advanced reconstructive surgery for mandibular defects using microvascular free flap techniques.
What is Mandibular Reconstruction?
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What are the Symptoms of Mandibular Reconstruction?
This is a surgical procedure rather than a disease, typically required after jaw removal due to cancer or trauma.
Loss of Jaw Function
Inability to chew solid food or close the mouth properly.
Facial Deformity
Visible contour changes and asymmetry in the lower face.
Speech Difficulties
Trouble articulating words due to missing bone and teeth.
Drooling / Oral Incompetence
Inability to keep liquids in the mouth.
Chronic Pain
Pain from exposed bone or pathological fractures.
Fistulas
Unnatural openings from the mouth to the neck or face.
What are the Causes and Risk Factors?
The need for reconstruction arises from destructive processes affecting the mandible.
Cancer Resection
Removal of oral, bone, or salivary cancers involving the jaw.
Severe Trauma
Facial injuries resulting in shattered or lost jaw bone (e.g., accidents).
Osteoradionecrosis (ORN)
Bone death resulting from prior high-dose radiation therapy.
MRONJ
Medication-related osteonecrosis of the jaw (from bisphosphonates).
Benign Tumours
Large aggressive benign cysts or tumours (like ameloblastoma).
Severe Infection
Osteomyelitis causing extensive bone destruction.
How Is Mandibular Reconstruction Diagnosed?
Accurate diagnosis involves a series of examinations and tests following globally recognised guidelines.
3D CT Scanning
High-resolution mapping of the defect and the donor bone.
Virtual Surgical Planning (VSP)
Computer-aided design to plan the exact cuts and plate shapes.
Angiography
Checking the blood vessels in the leg to ensure a fibula flap is viable.
Dental Evaluation
Planning for future dental implants in the reconstructed bone.
Mandibular Reconstruction Treatments
Personalised treatment based on cancer type, stage, and patient health.
Fibula Free Flap
Taking bone from the leg (fibula) with its blood supply to rebuild the jaw using microvascular surgery.
Custom Titanium Plating
Using custom 3D-printed titanium plates to bridge gaps and shape the new bone.
Dental Rehabilitation
Placing osseointegrated dental implants into the grafted bone to restore chewing.
Iliac Crest / Scapula Flaps
Alternative donor sites for bone depending on the size of the jaw defect.
Mandibular Reconstruction Recovery Timeline
Every patient's journey is unique. Here is a general overview.
Preoperative Preparation
1–2 WeeksBlood tests, imaging, prehabilitation. Diet and recovery preparation advice.
Surgery & Hospital Stay
Day 0–7Surgery with ICU monitoring, pain control, wound management and early movement.
Early Recovery
1–3 WeeksWound healing, exercises, nutrition guidance and home care support.
Rehabilitation
1–2 MonthsOngoing therapy, speech/swallowing therapy, routine follow-ups and lifestyle guidance.
Long-Term Recovery
3–12 MonthsReturn to normal activities with regular oncology checkups and survivorship support.
Why Choose Dr. Avadhut Dange for Mandibular Reconstruction Treatment
Board Certified Specialist
Recognised for precision surgical oncology with years of clinical excellence.
Advanced Technology
Managing complex cases with advanced, minimally invasive surgical tools.
Multidisciplinary Approach
Part of tumour boards ensuring holistic care with optimal outcomes.
Compassionate Care
Patient-centered approach focused on physical and emotional well-being.
Proven Track Record
Hundreds of successful head and neck cancer surgeries performed with high survival rates.
Together, We Can Fight Against Cancer
Scheduling a consultation is the first step toward a personalised care plan that prioritises your life, your health, and your hope.