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CONCLUSIONS: According to the elemental analysis by EDX, the u-HA content was low in the hypodense part, as confirmed by the SEM, and this part had many pores from which u-HA was released. We infer that the u-HA detached from the plate’s fine pores, and it adhered to the bone on the plate. Additionally, we presume that the bone tissue did not migrate to the plate due to the force during plate removal. Absorption and bone substitution progressed favorably where the plate was in close contact with the cortical bone compared with where the plate was not in close contact with the cortical bone. Skill may be necessary to close and fix the plate. Although PLLA is absorbed with time, the u-HA requires more time for bone replacement; in many cases, the u-HA remains visible on images for at least up to 5–6 years. Follow-up observation is needed.

plastic and reconstructive surgery. global open

Abstract: Utility of Creating Surgical Guide Using Sterilizable and Inexpensive Dental Impression Silicon in Free Fibula Flap Mandibular and Maxillary Bone Reconstruction