Protocol at the oral maxillofacial surgery department, hospital Dr. Domingo Luciani, Caracas, for intraoral approach of mandibular reconstruction with immediate ilium graft

Treatment of Benign Tumors in the mandible involves in most cases mandibular resections. The immediate reconstruction of patients is often controversial depending on techniques, material and methods. The intraoral approach of mandibular reconstruction placing immediate grafts benefits patients and surgeons with simpler techniques, faster post-operative recovery conditions and better revascularization of tissues. Nonetheless, the use of hyperbaric chamber as a complementary therapy also represents an important step looking forward better postoperative results. After evaluation, assessment and treatment of 10 cases of benign tumor resections in the mandible with immediate placement of ilium grafts at the Oral Maxillofacial Surgery Unit of Hospital Dr. Domingo Luciani, Caracas, we conclude that the protocol that shows better results in each case is as follows: diagnose, premodeling of reconstruction plate Lock System without Condyle using 3D technology with stereolithography models, 10 previous sessions of Hyperbaric Chamber, endovenous antibiotic therapy the day before surgery, setting of Erich archs and intermaxillary fixation prior to plate placement, muscular suspension to the plate, suture with Vicryl 3.0, 4.0 SH or RBI needle, following oral antibiotic therapy 7 or 14 days and 20 sessions of Hyperbaric Chamber after surgery, following implant reconstruction 6 months after surgery when stable occlusion has been achieved. We present examples using the protocol showing excellent postoperative results.

Conflict of interest: None declared.

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Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Protocol at the oral maxillofacial surgery department, hospital Dr. Domingo Luciani, Caracas, for intraoral approach of mandibular reconstruction with immediate ilium graft
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