Custom-made titanium mandibular reconstruction tray

Reconstruction of the mandible after ablative surgery can be achieved by us ing preformed trays or trays formed from models produced by computer-assist ed modelling systems. The former presents difficulty in matching the requir ed facial contour, jaw relationship and condylar position; while the latter is expensive. This paper presents a simple and inexpensive method of fabri cating a custom-made titanium bone grafting tray. The dimensions of the pat ient's mandible are obtained by clinical measurement. Such measurements are used to construct a mandibular replica. The region to be reconstructed is carved to produce the ideal shape and dimensions of an edentulous segment. The tray is made either by casting or by swaging. Twenty-one custom-made ti tanium bone grafting trays have been fitted in patients with encouraging re sults. This method of bone grafting tray construction is a simple, inexpens ive technique for achieving excellent facial contour and functional reconst ruction after mandibulectomy.