# Posterior Mandible Reconstruction with Tunnel Approach

URL: https://dloralsurgery.com/blog/posterior-mandible-reconstruction-through-a-tunnel-approach/

June 28, 2018

**2018** year

**9** photographs

**2** sections

In

[Cases from the course](https://dloralsurgery.com/blog/category/cases-from-the-course/) [Clinical Cases](https://dloralsurgery.com/blog/category/clinical-cases/) [Mandible](https://dloralsurgery.com/blog/category/mandible/)

[All cases](https://dloralsurgery.com/blog/)

![Posterior Mandible Reconstruction with Tunnel Approach](https://dloralsurgery.com/fotos/2018/06/22780473_10155874681334198_7405233614490991253_n-1.jpg)

Our colleague **Yasser Chaib** shares with us this excellent clinical case of **posterior mandible reconstruction**, performed after completing our Bone Reconstruction Course. We sincerely thank him for his trust and for allowing us to feature his work.

> “In honor of two greats! Jose Luis Dominguez Mompell and Juan Lara Chao, thank you for teaching us everything about 2D and 3D reconstructions. A few months after the course, I was able to perform this case.  
> They teach EVERYTHING they know. 100% recommended course. Thanks again for everything! A big hug to both of you!”

## Vertical reconstruction using a tunnel approach

This case involved a **vertical bone reconstruction** in the posterior mandible, carried out through a **tunnel approach**. This technique is particularly demanding due to the anatomical limitations of the area and the difficulty of accessing the surgical site without raising a conventional flap.

However, the tunnel technique allows for better preservation of the periosteum and enhances graft vascularization. As a result, bone integration improves and healing becomes more predictable.

The approach follows the biological principles of Prof. Fouad Khoury, whose contributions to horizontal and vertical grafting remain a cornerstone in bone regeneration. You can read more about Khoury Technique ir our [clinical cases](https://dloralsurgery.com/blog/vertical-bone-augmentation-with-the-khoury-technique-and-tunnel-approach/) with this protocol.

## Want to learn more?

📎 If you want to learn how to perform this kind of advanced **posterior mandible reconstruction**, explore our [International Bone Reconstruction Course](https://bonecourseusa.com/), where we cover the tunnel approach in depth, along with real clinical cases and hands-on protocols.

Thanks again, Yasser, for sharing your work and representing the spirit of surgical excellence.

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22555185_10155874681544198_9082841040749390334_n-1.jpg)

posterior mandible reconstruction

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22688630_10155874680959198_1763844506216031472_n-1.jpg)

posterior mandible reconstruction-1

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22729168_10155874680969198_8081010617366037616_n-1.jpg)

posterior mandible reconstruction-1

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22688914_10155874680974198_7518375205147128143_n-1.jpg)

posterior mandible reconstruction

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22687814_10155874681114198_2800139090297323580_n-1.jpg)

posterior mandible reconstruction

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22688344_10155874681119198_2279804121325453102_n.jpg)

posterior mandible reconstruction

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22780473_10155874681334198_7405233614490991253_n-1.jpg)

posterior mandible reconstruction

![posterior mandible reconstruction](https://dloralsurgery.com/fotos/2018/06/22730113_10155874681344198_6546248937213182300_n-1.jpg)

posterior mandible reconstruction

[← Previous case **Upcoming bone reconstructive surgery courses**](https://dloralsurgery.com/blog/next-courses-in-bone-reconstructive-surgery/) [Next case →**eBook: Impacted Canine Management in Oral Implantology – 7…**](https://dloralsurgery.com/blog/ebook-impacted-canine-management-oral-implantology-7-useful-tips/)

By your side, in every case

## Shall we talk about a case?

We are here to help you with complex diagnoses and advanced treatments.

[Clinical cases](https://dloralsurgery.com/blog/) [Our team](https://dloralsurgery.com/team/) [Training](https://dloralsurgery.com/training/) [Online appointment](https://dloralsurgery.com/online-appointment/)