The Treatment of Traumatic Mandibular Fracture Nonunion

Surgeons:
Keith Silverstein, D.M.D., M.D.,
Bernard J. Costello, D.M.D., M.D.,
Eric P. Holmgren, M.S.,
Peter D. Quinn, D.M.D., M.D.

Figure Legend

Figure 1: Initial postoperative panoramic radiograph of the ORIF bilateral mandibular fractures.

Figure 2: Radiographic evidence of nonunion with radiolucencies of fracture sites 4 weeks after the initial ORIF.

Figure 3: Custom acrylic mandible fabricated with CAD-CAM technology.

Figure 4: Reconstruction plate adapted to custom acrylic mandible.

Figure 5: Intra-operative adaptation of the pre-bent reconstruction plate.

Figure 6: Grafted right mandibular body nonunion with cancellous iliac crest bone graft, packed into polyglactin mesh tube.

Figure 7: Grafted left mandibular body nonunion with cancellous iliac crest bone graft packed into polyglactin mesh tube.

Figure 8: Panoramic radiograph 12 weeks after cancellous iliac crest bone graft with reconstruction plate showing bony union.

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