Reconstruction of the mandible following benign tumor ablations: An audit of 20 cases. Issue 5 (September 2015)

• Record Type: Journal Article
• Authors: Akinbami, Babatunde O.; Akadiri, Oladimeji A.
• Is Part Of: Journal of oral and maxillofacial surgery, medicine, and pathology. Volume 27:Issue 5(2015)
• Page Start: 650
• Page End: 655
• Publication Date: 2015-09
• Subjects: Benign tumors -- Continuity defects -- Reconstruction -- Non-vascularized bone autografts; Mouth -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Oral medicine -- Periodicals; Mouth -- Diseases -- Pathogenesis -- Periodicals; Surgery, Oral -- Periodicals; Oral Medicine -- Periodicals; Pathology, Oral -- Periodicals; Face -- Surgery; Maxilla -- Surgery; Mouth -- Diseases -- Pathogenesis; Mouth -- Surgery; Oral medicine; Electronic journals -- Sciences; Electronic journals -- Medicine; Periodicals; 617.522059
• DOI: 10.1016/j.ajoms.2015.01.009
• Languages: English
• ISSNs: 2212-5566

Abstract

Abstract: Objectives: Resections of benign tumors of the mandible result in continuity defects of varying span which can be reconstructed with either vascularized bone graft or non-vascularized bone graft with or without alloplastic materials. We documented the morbidities and outcomes of reconstructions of extensive defects of the mandible in a tertiary health center. Methods: All consecutive patients were included. The extents of mandibular involvement were classified. Morbidities at both sites and take of grafts were assessed by clinical examinations and radiographic evaluation. Results: A total of 20 patients with equal gender distribution were evaluated. Age range was 10–54 years, mean (SD) of 24.3 (10.9). Sixteen (80%) patients had ameloblastoma, and 2 (10%) keratocystic odontogenic tumor. Primary reconstruction with both autograft and alloplast was done in 14 (70%) patients and primary reconstruction with iliac bone graft in 6 (30%). The extent of mandible involvement was limited to one side of the bone in 2 (10%) patients. It crossed midline in 8 (40%) and it involved both sides of the bone in 8 (40%) patients. Conclusion: We had 65% success rate. To avoid the long operation time and cost of using vascularized grafts, we recommend that non-vascularized grafts are very useful in the reconstruction of intermediate to long span mandible defect.