Computer guided resection and reconstruction of intra-osseous zygomatic hemangioma: Case report and systematic review of literature
| Autor: | Sherif Ali, Mohamed Farid Shehab, Ahmed Talaat Temerek |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Computer-assisted surgery medicine.medical_treatment Vascular malformations Article Resection Hemangioma 03 medical and health sciences 0302 clinical medicine medicine Zygomatic bone Human studies business.industry medicine.disease Curettage Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Composite graft business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Intraosseous zygomatic hemangioma is highly prevalent in females compared to males (2.28:1), with mean age of 44.1 ± 1.8 years. • The main patient concern in intraosseous zygomatic hemangioma is swelling and facial deformity. • Partial resection and curettage are associated with high recurrence rate. • Total tumor resection can assure no recurrence proved for over 10 years of follow-up, with minimal intraoperative bleeding occurred in most of the cases. • Computer guided surgery for resection and reconstruction of intraosseous zygomatic hemangioma facilitates the surgical procedures. Objectives to systemically integrate the available data on various published treatment strategies for intraosseous hemangioma of the zygoma in an updated comprehensive systematic review, and to present a new case of treated resection and immediate reconstruction using computer guided patient specific composite graft. Case presentation A 29 years old female patient with intraosseos zygomatic hemangioma treated using computer guided resection and immediate reconstruction. The resection was performed using a resection template constructed based on preoperative 3D planning. The reconstruction was performed using ramus bone graft and titanium mesh. The patient was followed up for 3 years with no complications. Methods An electronic search was performed on 3 data bases; additional hand search of bibliographies of selected articles was performed. Eligibility criteria include human studies presenting intraosseous zygomatico-orbital hemangioma with clearly reported therapeutic strategies. Results 53 articles with 73 cases were included. The lesion was highly prevalent in females compared to males (2.28:1). Fifth decade represents the highest prevalence with mean age of 44.1 ± 1.8 years. The main patient concern was swelling and facial deformity. Total tumor resection can assure no recurrence, while partial resection and curettage are associated with high recurrence rate. |
| Databáze: | OpenAIRE |
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