Restoration of resected mandible by grafting with combination of mandible homograft and autogenous iliac marrow, and postoperative treatment with hyperbaric oxygenation

Considerable difficulty has been encountered by surgeons in the restoration of the completely resected body of the mandible. Recent experimentation has resulted in the evaluation of a graft technique involving a metallic mesh implant which contains a surface decalcified homogenous cadaver mandible which has been reduced on the inner surface to accommodate a particulate graft of cancellous bone and marrow taken from the patient's ilium. The details of one such case will be presented; the patient was a 20-year-old woman who had undergone a resection of the mandible. After the surgical procedure she was subjected to a course of hyperbaric oxygen therapy involving two atmospheres of 100 per cent oxygen 1 hour per day for 30 days. The subjective and objective results of such treatment and the effect on the postoperative course of the osseous regeneration will be presented.