A new La –Co –CE Mandibular Segmental Defect Classification System with a Surgical Reconstructive Difficulty Ladder

Abstract

This paper reviewed the unique anatomy of the mandible in relation to reconstruction of segmental mandibular defects with non  vascularized bone grafts. The three distinct surgical - anatomic - reconstructive zones of the mandible and the etiology of the defects were briefly highlighted. A new La-Co-CE mandibular segmental defect classification system was proposed along with a surgical reconstructive difficulty ladder. The advantages and limitations of such a defect classification system were discussed. Further research will explore the relationship between the La-Co-CE defect classification, the surgical reconstructive difficulty ladder, and surgeon and patient reported outcomes.