Vascularised versus Non Vascularised Autogenous Bone Grafts for Immediate Reconstruction of Segmental Mandibular Defects: A Systematic Review
The mandible is very important for facial aesthetics and is also responsible for mastication and speech. Resection of the mandible is often indicated in the treatment of some infections, odontogenic tumors, severe trauma and oral cancer that represent a great challenge for surgeons because of the complexity and unique anatomy of the mandible. The main target of reconstruction of discontinuity defects of the mandible is to restore cosmetics, maximize function, mastication and preserve appearance and quality of life. Treatment of segmental mandibular defects is considered a complex process. Various techniques of reconstruction, ranging from simple bridging plates to composite free flaps have been adopted; each has its advantages and disadvantages. Till now, autogenous bone grafts is still considered to be the gold Standard and the most preferred method in reconstruction of such defects. There are various forms of the autogenous bone grafts either vascularised, non vascularis...