Thank you for sharing this great work. It's an interesting approach. However, I have some concerns about the long-term results, particularly regarding the potential for peri-implantitis, which might necessitate removal of the entire plate. I'd be very interested to hear about any complications you've encountered, especially infections originating from the skin-piercing areas and spreading deeper. Could you share your experiences with these issues? Thank you for your insights.
I agree. This hardware is relatively new to the U.S. market, introduced in 2023, so we still have limited knowledge about potential complications. I anticipate mucositis may form around the piers, similar to traditional dental implants. However, the advantage is that the piers are positioned away from the osteointegration sites. I expect the main complications might involve hardware exposure due to inadequate soft tissue coverage, particularly in patients undergoing postoperative radiation therapy. Careful patient selection will be critical until we have more data.
Hi. Thank you for your question. For mandible, I would not recommend it as a reconstruction option for segmental mandibulectomy. I recently did a case where pt failed conventional dental implants (implant infection) in fibula for mandible recon. We removed remaining dental implants and old reconstruction plate and placed mandible ips implant on fibula after it had fully fused (1 yr later). Mandible ips implant have extreme precision with the way it fit around the fibula (neo mandible). As such, in my mind, for mandible, it can be done as a two stage approach. First surgery with fibula/scapula with recon plate and second surgery with ips mandible. Also, mandible is exposed to much greater force than posterior maxilla so I would still consider placing vascularized bone instead of relying just on ips hardware for segmental defect. With greater advancement in technology, such might be possible one day but at this time, I would not recommend ips+radial ff for segmental mandibulectomy recon. If there is no segmental mandibulectomy defect but if mandible continuity is preserved (atrophic mandible, partial mandibulectomy), then ips implant maybe a good option with radial ff being used for mucosal defect along mandible. I hope that makes sense. I am working on my current treatment algorithm for mandibulectomy and maxillectomy that includes ips so you might find that helpful. Hopefully it will be completed within next 1-2 months. Thanks.
Thank you very much for your detailed views on Mandible Psi . I too have failed with mandible psi in an ameloblastoma case in which the psi was designed along with protruding implants . I really agree with your concept of Psi in marginal mandibulectomy cases and as a second stage procedure. Thank you
I am interested in being a member of Reconstruct face . I tried a lot to register but could not as I want access to all videos . Kindly help to get the membership . Thank you
@@manjunathnm5662 please go to reconstructface.com/contact/ and ask for beta account access. Not all the surgical procedures have been created yet so the surgical library is being added as the lectures are ready but as a beta tester you can get early access before the public release.
Beautiful work
Very nice video. Thank you for sharing
Fantastic result to be honest!
Thank you for sharing this great work. It's an interesting approach. However, I have some concerns about the long-term results, particularly regarding the potential for peri-implantitis, which might necessitate removal of the entire plate. I'd be very interested to hear about any complications you've encountered, especially infections originating from the skin-piercing areas and spreading deeper. Could you share your experiences with these issues? Thank you for your insights.
I agree. This hardware is relatively new to the U.S. market, introduced in 2023, so we still have limited knowledge about potential complications. I anticipate mucositis may form around the piers, similar to traditional dental implants. However, the advantage is that the piers are positioned away from the osteointegration sites. I expect the main complications might involve hardware exposure due to inadequate soft tissue coverage, particularly in patients undergoing postoperative radiation therapy. Careful patient selection will be critical until we have more data.
Great video . Can we do the same for mandible ...PSI+ Rfff.
Hi. Thank you for your question. For mandible, I would not recommend it as a reconstruction option for segmental mandibulectomy. I recently did a case where pt failed conventional dental implants (implant infection) in fibula for mandible recon. We removed remaining dental implants and old reconstruction plate and placed mandible ips implant on fibula after it had fully fused (1 yr later). Mandible ips implant have extreme precision with the way it fit around the fibula (neo mandible). As such, in my mind, for mandible, it can be done as a two stage approach. First surgery with fibula/scapula with recon plate and second surgery with ips mandible. Also, mandible is exposed to much greater force than posterior maxilla so I would still consider placing vascularized bone instead of relying just on ips hardware for segmental defect. With greater advancement in technology, such might be possible one day but at this time, I would not recommend ips+radial ff for segmental mandibulectomy recon. If there is no segmental mandibulectomy defect but if mandible continuity is preserved (atrophic mandible, partial mandibulectomy), then ips implant maybe a good option with radial ff being used for mucosal defect along mandible. I hope that makes sense. I am working on my current treatment algorithm for mandibulectomy and maxillectomy that includes ips so you might find that helpful. Hopefully it will be completed within next 1-2 months. Thanks.
Thank you very much for your detailed views on Mandible Psi .
I too have failed with mandible psi in an ameloblastoma case in which the psi was designed along with protruding implants . I really agree with your concept of Psi in marginal mandibulectomy cases and as a second stage procedure.
Thank you
I am interested in being a member of Reconstruct face . I tried a lot to register but could not as I want access to all videos .
Kindly help to get the membership .
Thank you
@@manjunathnm5662 please go to reconstructface.com/contact/ and ask for beta account access. Not all the surgical procedures have been created yet so the surgical library is being added as the lectures are ready but as a beta tester you can get early access before the public release.
Thank you sir