Benign paediatric mandibular tumours: experience in reconstruction using vascularised fibula
| Autor: | Ehtesham-ul-Haq, Mamoon Rashid, Saad ur Rahman Sarwar, Syed Taokeer Ahmed Rizvi, Muhammad Sarmad Tamimy |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Odontogenic Tumors Osteotomy Odontogenic myxoma Surgical Flaps Ameloblastoma Postoperative Complications Granuloma Giant Cell Recurrence Radiography Panoramic medicine Humans Fibula Child business.industry Fibrous dysplasia Mandible Aneurysmal bone cyst Fibrous Dysplasia of Bone Plastic Surgery Procedures medicine.disease Chin Surgery Bone Cysts Aneurysmal Mandibular Neoplasms medicine.anatomical_structure Treatment Outcome Female business |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 65(12) |
| ISSN: | 1878-0539 |
| Popis: | The majority of the paediatric oral and maxillofacial tumours are benign and the mandible is involved in one-third of these cases. A review of the literature reveals only a handful of studies pertaining exclusively to benign paediatric mandibular tumours. The basis of this study was to fulfil the need to assess the suitability of major mandibular reconstructions using a vascularised fibular graft in cases of benign tumours in children. From April 1999 to April 2011 we have managed 18 cases of benign paediatric mandibular tumours. All the reconstructions were done using vascularised fibular graft. The age of these patients ranged from 8 to 16 years. The most common pathology seen in our series was Ameloblastoma, followed by Giant Cell Granuloma and vascular malformation. Other cases included fibrous dysplasia, aneurysmal bone cyst and odontogenic myxoma. Five of these were recurrent lesions. The mean length of the fibula harvested was 12 ± 2 cm. All the flaps in this series survived. Bone union occurred in all cases by 6 weeks. All the patients have maintained a satisfactory chin contour of the mandible during the follow-up period with minimal distortion occurring secondary to contralateral native mandibular growth in two cases. We conclude that, for benign paediatric mandibular tumours requiring major bone resection, the vascularised fibula is an excellent reconstructive option with the advantages of having a good bone stock, possibility for osteotomy, long pedicle length and potential for growth along with the possibility of dental rehabilitation. |
| Databáze: | OpenAIRE |
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