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Following wide segmental mandibulotomy with periosteal preservation, a 6-cm parasymphyseal defect was reconstructed using a cadaveric tibial allograft combined with a cellular bone allograft. Imaging demonstrated progressive remodeling with complete osseous mandibular arch continuity at 22 months, and excellent function and facial harmony were observed on clinical follow-up to 42 months. This report reviews the paucity of current literature on pediatric mandibular reconstruction using cellular bone allografts and highlights its potential to achieve durable, growth-compatible pediatric mandibular reconstruction.<\/jats:p>","DOI":"10.1177\/10556656251387399","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:10:48Z","timestamp":1761156648000},"page":"3525-3534","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Mandibular Reconstruction Using Cadaveric Tibial Allograft and Cellular Bone Allograft (ViviGen\n                    <sup>\u00ae<\/sup>\n                    )"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1396-0090","authenticated-orcid":false,"given":"Sharwani","family":"Kota","sequence":"first","affiliation":[{"name":"Rutgers- Robert Wood Johnson Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiyi","family":"Su-Genyk","sequence":"additional","affiliation":[{"name":"Rutgers- Robert Wood Johnson Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Woloszyn","sequence":"additional","affiliation":[{"name":"Rutgers-New Jersey Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8245-7124","authenticated-orcid":false,"given":"Joseph B.","family":"Vella","sequence":"additional","affiliation":[{"name":"Rutgers- Robert Wood Johnson Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000172677.71629.10"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2023.111547"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002452"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.24592"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2015.12.004"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.20431\/2456-0049.0401001"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24020"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30219"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2019.08.497"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003243"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004449"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0035-1768(05)86058-9"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.05.009"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003285"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.12.022"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.OMX.0000459075.32503.d6"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2012.04.021"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2024.0128"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/19433875231214068"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.05.027"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cxom.2006.05.007"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000472331.37792.4f"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007440"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1249371"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000914"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10561-022-10044-2"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006830"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006568"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2019.11.024"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/27325016211057287"},{"key":"e_1_3_2_32_2","unstructured":"Alfi D Coppelson K Caroline JP Huang MF. 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