Immediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study
| Autor: | Boniphace M. Kalyanyama, F.M. Shubi, Elison N. M. Simon, Paul J.W. Stoelinga, M.A.W. Merkx |
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| Přispěvatelé: | MUMC+: CONC Poli Mondzorg Kaak Aangezicht Chirurgie (9), RS: GROW - School for Oncology and Reproduction |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty reconstruction Adolescent Esthetics Iliac crest Resection Cohort Studies mandible ameloblastoma Eating Young Adult Quality of life medicine Humans Speech Surgical Wound Infection Interpersonal Relations Ameloblastoma Child Wound Healing Bone Transplantation business.industry Platelet-Rich Plasma Graft Survival Mandible Middle Aged medicine.disease Evaluation of complex medical interventions Translational research [NCEBP 2] Surgery Odontogenic Mandibular Neoplasms medicine.anatomical_structure Otorhinolaryngology Patient Satisfaction Quality of Life Female Oral Surgery Segmental resection Mandibular Reconstruction business Bone Plates Stress Psychological Cohort study Follow-Up Studies |
| Zdroj: | International Journal of Oral and Maxillofacial Surgery, 42, 1, pp. 106-12 International Journal of Oral and Maxillofacial Surgery, 42(1), 106-112. Churchill Livingstone International Journal of Oral and Maxillofacial Surgery, 42, 106-12 |
| ISSN: | 0901-5027 |
| DOI: | 10.1016/j.ijom.2012.07.010 |
| Popis: | The results are reported of a clinical follow-up study on 32 selected but consecutive patients with mandibular ameloblastoma. They were all treated by a segmental resection and reconstructed, using two 2.3 mm reconstruction plates and an autogenous particulate bone graft, taken from the anterior iliac crest, and platelet rich plasma. Follow-up ranged from 12 to 39 months, with an average of 27.9 months. Undisturbed healing occurred in 29 patients, while three had postoperative infections, but in only one case did that result in failure of the graft. The patients' appreciation was measured using an adapted quality of life questionnaire. The results were compared with a similar group who did not undergo reconstruction. The eating of solid food, appearance and speech were considerably better in the reconstructed group. The conclusion is that this means of reconstruction is appropriate for patients with benign but aggressive odontogenic tumours of the mandible, particularly in developing countries, since the expenses seem to be affordable. International Association of Oral and Maxillofacial Surgeons. |
| Databáze: | OpenAIRE |
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