Combined reconstruction of the mandible in children using a customized endoprosthesis with a temporomandibular joint implant and fibula free ftap reconstruction

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Abstract

Although surgical removal of head and neck tumors remains a relevant method of local control in pediatric patients, it can lead to the formation of extensive, complex maxillofacial defects. There is no doubt that restoration of anatomical integrity and function of the mandible in children is necessary in the majority of cases, however the choice of reconstruction method is still controversial. In this article, we present a method of combined mandibular reconstruction in children involving the use of a customized endoprosthesis with a temporomandibular joint implant and microsurgical reconstruction with a fibula free flap, which provides optimal functional and aesthetical results and enables patients to receive complete dental rehabilitation in the future (including the placement of permanent dental implants), and report a case series demonstrating this method. The study was approved by the Independent Ethics Committee and the Scientific Council of the Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation. The patients' parents gave their consent to the use of their child's data, including photographs, for research purposes and in publications.

About the authors

N. S. Grachev

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: nick-grachev@yandex.ru
ORCID iD: 0000-0002-4451-3233

Moscow

Russian Federation

A. V. Lopatin

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: and-lopatin@yandex.ru
ORCID iD: 0000-0001-7600-6191

Moscow

Russian Federation

N. V. Babaskina

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: nbabaskina@bk.ru
ORCID iD: 0000-0003-4264-1423

Natalya V. Babaskina - a pediatric oncologist at the Department of Pediatric Oncology, Head and Neck Surgery and Neurosurgery.

1 Samory Mashela St., 117997, Moscow

Russian Federation

N. M. Markov

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: markovnm@mail.ru
ORCID iD: 0000-0003-1063-6590

Moscow

Russian Federation

I. N. Vorozhtsov

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: dr.vorozhtsov@gmail.com
ORCID iD: 0000-0002-3932-6257

Moscow

Russian Federation

K. D. Starokorova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: dr-kapst@yandex.ru
ORCID iD: 0000-0003-4774-5520

Moscow

Russian Federation

E. K. Gorokhova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: elizavetagorokhova@yandex.ru
ORCID iD: 0000-0003-1237-0802

Moscow

Russian Federation

V. P. Veber

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: veber@logeeks.ru
ORCID iD: 0009-0009-7988-2766

Moscow

Russian Federation

M. S. Bondar

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: dm@logeeks.ru
ORCID iD: 0009-0008-7642-1772

Moscow

Russian Federation

A. S. Meshcheryakova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

Email: dm@logeeks.ru
ORCID iD: 0009-0009-0840-7052

Moscow

Russian Federation

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Copyright (c) 2025 Grachev N.S., Lopatin A.V., Babaskina N.V., Markov N.M., Vorozhtsov I.N., Starokorova K.D., Gorokhova E.K., Veber V.P., Bondar M.S., Meshcheryakova A.S.

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