Mandibular reconstruction with autogenous non-vascularised bone graft

被引:3
作者
Braimah, Ramat Oyebunmi [1 ]
Ibikunle, Adebayo Aremu [1 ]
Abubakar, Umar [2 ]
Taiwo, Abdurrazaq Olanrewaju [3 ]
Oboirien, Muhammed [4 ]
Adejobi, Francis Adewale [5 ]
Ndubuisi, Terry Godwin [6 ]
Abubakar, Siddiq [6 ]
机构
[1] Usmanu Danfodio Univ, Dept Dent & Maxillofacial Surg, Teaching Hosp, Sokoto, Nigeria
[2] Usmanu Danfodiyo Univ, Teaching Hosp, Coll Hlth Sci, Cardio Thorac Surg Unit,Dept Surg, Sokoto, Nigeria
[3] Usmanu Danfodiyo Univ, Teaching Hosp, Coll Hlth Sci, Dept Surg Dent & Maxillofacial Surg, Sokoto, Nigeria
[4] Usmanu Danfodiyo Univ, Teaching Hosp, Dept Surg, Orthopaed & Traumatol Unit, Sokoto, Nigeria
[5] Obafemi Awolowo Univ Teaching Hosp Complex, Dept Oral & Maxillofacial Surg & Oral Pathol, Ife, Osun State, Nigeria
[6] Usmanu Danfodiyo Univ, Dept Dent & Maxillofacial Surg, Teaching Hosp, Sokoto, Nigeria
关键词
Grafts; mandibular defects; reconstruction plate; RESECTION; FLAPS; HEAD;
D O I
10.4314/ahs.v19i3.53
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Reconstruction of mandibular defects can be challenging because an acceptable aesthetic and functional outcome must be achieved simultaneously. Aim: To evaluate the pattern of mandibulectomy and reconstruction materials used in the reconstruction of mandibular defects. Materials and methods: This was a retrospective study of mandibulectomies with reconstruction in Sokoto, Nigeria between 2012 and 2016. Data such as demographics, type of tumour, type of resection and type of reconstruction materials used were extracted and stored. Results: Fifty-two cases of mandibulectomies were done comprising 24 males and 28 females (ratio 1:1.2). Age ranged 5-80 years with mean +/- SD (37.8 +/- 15). Most of the cases 30 (57.7%) were on the right. There are 35 (67.3%) benign and 17 (32.7%) malignant cases. Thirty (57.7%) lateral, 16 (30.8%) condylar, 1 (1.9%) central and 5 (9.6%) combined mandibular defects were seen. Reconstruction plate alone was used in 11 (21.2%) cases, reconstruction plate with rib and tibia grafts in 16 (30.8%) cases, reconstruction plate with Iliac crest and tibia grafts in 15 (28.8%) cases. Graft length ranged from 0-20cm. There was satisfactory outcome altogether in 32 (80.0%). Conclusion: This study has shown the types of mandibulectomies and reconstruction materials used in our centre.
引用
收藏
页码:2768 / 2777
页数:10
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