Strategy of Mandibular Central Arch Reconstruction After Firearm Injury.

Autor: Fernandes BDR; Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, University Estadual Paulista (UNESP), Araçatuba, Sao Paulo., Mendes BC; Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, University Estadual Paulista (UNESP), Araçatuba, Sao Paulo., Mulinari-Santos G; Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, University Estadual Paulista (UNESP), Araçatuba, Sao Paulo., Okamoto R; Department of Basic Science, Araçatuba Dental School, University Estadual Paulista (UNESP), Araçatuba, Sao Paulo., Homsi N; Department of Oral and Maxillofacial Surgery, Nova Friburgo - Universidade Federal Fluminense, Nova Friburgo, Rio de Janeiro., Rocha-Jr HVD; Department of Oral and Maxillofacial Surgery, Nova Friburgo - Universidade Federal Fluminense, Nova Friburgo, Rio de Janeiro., Magacho LF; Department of Oral and Maxillofacial Surgery, General Hospital of Nova Iguacu, Rio de Janeiro, Brazil., Pereira RDS; Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, University Estadual Paulista (UNESP), Araçatuba, Sao Paulo.
Jazyk: angličtina
Zdroj: The Journal of craniofacial surgery [J Craniofac Surg] 2019 Oct; Vol. 30 (7), pp. e629-e630.
DOI: 10.1097/SCS.0000000000005655
Abstrakt: Gunshot wounds can cause extensive destruction of soft tissue and bone, and the maxillofacial region is often affected. The reconstructive treatment is complex due to the difficulty to reestablish the central arch mandibular contour and volume. Moreover, the goal is to avoid postoperative infections and obtain bone graft neovascularization. Therefore, this report shows a clinical case of a patient presenting mandibular deformity with a mandibular central arch discontinuity caused by a firearm injury. The strategy to the reconstructive treatment as performed with a condensed and stabilized particulate autogenous bone graft was essential and effectiveness. After 1 year, it was obtained a satisfactory result to the patient.
Databáze: MEDLINE
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