Selection of reconstructive material for the restoration of the maxillofacial region bone defects in oncological practice

Surgery of malignant neoplasms of various sites remains the cornerstone method of treatment for many patients. Current requirements for surgery suggest, along with the implementation of a radical operation, the lost structures restoration with the achieve-ment of the best functional and aesthetic results. The materials proposed for reconstructive and restorative surgery differ significantly from the origin. Such materials in-clude auto- and allomaterials, xenomaterials, brefomaterials, biologically active mole-cules of protein and non-protein nature with the properties of growth factors, and artifi-cial ones based on β-tricalcium phosphate, hydroxyapatite, as well as various types of ceramics, composite materials based on synthetic and / or biological structures. The ar-ticle provides an overview of currently used maxillofacial reconstruction methods. The evolution of a biomaterial used as a bone graft instead of an autologous bone for the craniofacial zone reconstruction is also overviewed.

Key words: malignant tumors, maxillofacial region, flap, reconstrucion, implant, bioc-eramics, cellular technologies

The authors declare no conflict of interest.

Source of financing. The study was supported by the Russian Science Foundation grant (Pro-ject No. 16-15-00038).

For citation: Kulbakin D.E., Choynzonov E.L., Buyakova S.P., Kulkov S.N., Mukhamedov M.R., Chernov V.I., Buyakov A.S. Selection of reconstructive material for the restoration of the maxillofacial region bone defects in oncological practice. Голова и шея Head and neck Russian Journal. 2018;6(4):64–69 (in Russian).

 The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.