Reconstruction of the mandible following benign tumor ablations: our initial experience

Background: Ablative surgeries of jaw tumors are usually accompanied by a collapse of the overlying facial soft tissues, altered aesthetics and psychosocial effects. The aim of this study was to document our initial experience in mandible reconstruction following resections of benign tumors in a new tertiary centre.

Patients and methods: All consecutive patients that underwent ablative surgery for benign intra-bony tumors affecting the mandible and reconstruction of the bone with any type of graft between June, 2007 and May, 2011 were included. Patients’ bio-data and relevant clinical/histological information were documented. The extent of the mandibular involvement was classified by the Jewer et al. classification and, the type and extent of resections were determined based on this classification. Surgical approaches to the mandible and mode of resection were documented. The materials, grafts and donor sites of the grafts used for reconstructions were stated. Post operative complications in both the recipient and donor sites were documented and clinical outcomes were assessed.

Results: A total of 11 cases of mandibular reconstruction have been done in ten patients. Six (60%) of them are females and 4 (40%) are males. The age range was between 19 and 61 years. Primary reconstruction with both iliac bone graft and plate were done in 3 patients, primary reconstruction with iliac bone graft only and secondary reconstruction with both rib graft and plate in 1 patient, primary reconstruction with only iliac bone in 5 patients and, primary reconstruction with Steinman’s pin in 1 patient.

Conclusion: All bone grafts were non vascularized and there was 100% take.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Reconstruction of the mandible following benign tumor ablations: our initial experience
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