Following debridement and Clindamycin soaking, allograft is placed around the exposed threads; a titanium mesh is used to contain the graft (Fig.3).  The flap is closed with tension in spite of the periosteum being underscored.  The patient develops moderate to severe ecchymosis postop. 

The coronal portion of the mesh is exposed with loss of bone graft granules.  It appears that the mesh has lost its function.  It is planned to be removed.  PA is taken 16 days post placement of the mesh (Fig.4).  *: fixation screw.

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Xin Wei, DDS, PhD, MS 1st edition 06/12/2013, last revision 01/19/2018