| Popis: |
Long-term clinical observations on the treatment and rehabilitation of 117 children with tumors and tumor-like formations of the maxillofacial region are presented. To replace jaw defects, we used transplants preserved in various ways: frozen — in 48 patients, preserved in 0,5% formalin — in 7 patients, Kostma — in 7 pati¬ents, Deprotex — in 28 patients, Orgamax — in 27 patients. In the postoperative period, orthopedic and orthodontic rehabilitation of patients was carried out using removable and non-removable orthodontic appliances and dental implant systems. In the near term, no complications were revealed in 108 patients; consolidation of the graft with the bone bed occurred. 9 patients developed a purulent inflammatory process with allograft sequestration. The follow-ups of the patients showed that after transplantation, the allograft was gradually resorbed and replaced with a full-fledged organotypic regenerate within a period of 1,0 to 3 years. During the long-term up to 10 years follow-up, 92 patients (89,3 %) obtained good anatomical, functional and aesthetic results of rehabilitation, characterized by full restoration of the function of the dentition and facial aesthetics. In 11 patients (10,7 %), the results were satisfactory. |
