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February 26, 2026Journal of Clinical MedicineOpen Access

Surgical Management of Advanced Mandibular Osteonecrosis Utilizing a Contemporary Mandibular Reconstruction Plate in Patients Unsuitable for Free Flap Reconstruction—Preliminary Study and Case Series

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Authors

MFMarios FouzasEKEvagelos KalfarentzosKNKamil Nelke

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Overview

Preliminary study shows promising clinical outcomes with titanium plate in mandibular osteonecrosis patients unsuitable for free flap surgery.

Key Points

  • Evaluate surgical management outcomes for advanced mandibular osteonecrosis using a contemporary reconstruction plate.
  • Case series of four patients with Stage 3 osteonecrosis
  • Segmental mandibulectomy followed by alloplastic reconstruction with titanium plating
  • Clinical and radiographic outcome assessment over 3 to 20 months
  • Literature review to contextualize findings
  • All patients achieved stable reconstruction without complications
  • No plate exposure, fracture, or bone exposure reported
  • Aesthetic and functional outcomes were favorable
  • Literature supports plate-only reconstruction as a viable alternative for selected patients

Cite This Study

Fouzas et al. (2026) studied this question.

synapsesocial.com/papers/699f95ba1bc9fecf3dab3e15https://doi.org/10.3390/jcm15051694
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