Case report| Volume 65, ISSUE 7, e189-e192, July 2012

Reconstruction of a maxillary defect using the remnant bone of mandibular angle ostectomy

Published:February 27, 2012DOI:


      The buttress is the cornerstone of the midface both functionally and aesthetically. Therefore, fracture of the buttress requires surgery. A patient wanted cosmetic surgery simultaneously with a reduction of facial bone fracture. To achieve this, we reconstructed the defect of the maxillary buttress using the remnant bone of the mandible angle ostectomy.
      A 27-year-old man presented with a left maxilla fracture and defect at the maxillary buttress. Since the patient was considering cosmetic surgery to alter his square face, we planned a mandibular angle ostectomy and used the remnant bone as an onlay bone graft for maxillary reconstruction. There was no complication and the patient was satisfied with both the functional and aesthetical look of the reconstructive surgery.
      We reconstructed the defect of the maxillary buttress successfully using the remnant bone of the mandible angle ostectomy. Although this technique cannot be applied to every patient, reconstruction of facial bone defects with the remnant bone of the mandibular angle ostectomy may be a potential option in some cases.


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        • Ballon A.
        • Landes C.A.
        • Zeilhofer H.F.
        • et al.
        The importance of the primary reconstruction of the traumatized anterior maxillary sinus wall.
        J Craniofac Surg. 2008; 19: 505-509
        • Infante-Cossío P.
        • Martínez-de-Fuentes R.
        • García-Perla-García A.
        • Jiménez-Castellanos E.
        • Gómez-Izquierdo L.
        Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection.
        Med Oral Patol Oral Cir Bucal. 2011; 16: e532-e536
        • Dalgorf D.
        • Higgins K.
        Reconstruction of the midface and maxilla.
        Curr Opin Otolaryngol Head Neck Surg. 2008; 16: 303-311
        • Khadka A.
        • Hsu Y.
        • Hu J.
        • et al.
        Clinical observations of correction of square jaw in East Asian individuals.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 111: 428-434
        • Layoun W.
        • Guyot L.
        • Richard O.
        • Gola R.
        Augmentation of cheek bone contour using malar osteotomy.
        Aesthetic Plast Surg. 2003; 27: 269-274