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Innovation of the maxillofacial reconstruction (during the last 30 years)

Innovation of the maxillofacial reconstruction (during the last 30 years). G. Szabo Budapest Semmelweis University. Many technique have been employed through the years to reconstruct the mandible. Reconstruction of mandibular defect. a, Maintenance the bone integrity b, Alloplastic material

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Innovation of the maxillofacial reconstruction (during the last 30 years)

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  1. Innovation of the maxillofacial reconstruction(during the last 30 years) G. Szabo Budapest Semmelweis University

  2. Many technique have been employed through the years to reconstruct the mandible

  3. Reconstruction of mandibular defect a, Maintenance the bone integrity b, Alloplastic material c, Conventional bone graft d, Living bone graft e, 3D printing reconstruction

  4. Implants for mandibular reconstruction

  5. The past

  6. Vitalium implants

  7. Various reconstraction plates

  8. Osteosarcoma

  9. Five years later

  10. Melanoma metastasis in the central mandible

  11. Two weeks postop.

  12. Computer Generated Titanium Cranioplasty

  13. Polytrauma 1991 • (Only neurosugical treatment) • From 1991-1998 • 10 various operations on the cranio-maxillofacial region

  14. Mandibular reconstruction with Carbon/Carbon implantsLong-term results

  15. ~ ~ Carbon implants Carbon fibres and Polymer matrix ( 50% Carbon) Orthopedic and Cardiac surgery since 20 years Carbon fibres and Pyrocarbon matrix (99.99% Carbon) Carbon / Carbon New!

  16. Carbomedics (Centerpulse) Carbon fibres are mixed with other synthetic materials

  17. Various devices of CarBulat™ implants

  18. Comparative Parameters of CarBulat™ and Bone Tissue

  19. Synovial sarcoma 23 year old girl

  20. Carbon reconstruction

  21. During the postop. irradiation

  22. Titanium plate Carbon CT picture 10 months after surgery

  23. 3 years after the CarBulat™ Reconstruction

  24. Ewing sarcoma in the mandible after cytostatic treatment

  25. 1 month postop.

  26. 27 months after surgery

  27. 8 years after the first implantation

  28. Carbulat plate removing and reconstruction of the mandible with autogenous bone (iliac crest)

  29. The Carbulat plate covered periost-like tissue

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