Autogenous mandibular symphysis graft for orbital floor reconstruction: a preliminary study

被引：5

作者：

Rudagi B.M. ^{[1
]}

Halli R. ^{[1
]}

Mahindra U. ^{[1
]}

Kharkar V. ^{[1
]}

Saluja H. ^{[1
,2
]}

机构：

[1] Dept. of Oral and Maxillofacial Surgery, Rural Dental College, Maharashtra

[2] Dept. of Oral and Maxillofacial Surgery, Rural Dental College, Loni Tal - Rahata, Ahmednagar District, Maharashtra

来源：

Journal of Maxillofacial and Oral Surgery | 2009年 / 8卷 / 2期

关键词：

Diplopia; Graft; Mandibular symphysis; Orbital floor reconstruction;

D O I：

10.1007/s12663-009-0035-6

中图分类号：

学科分类号：

摘要：

Objective: The present study aimed to evaluate and analyze postoperative results of Autogenous Mandibular Symphysis graft material for orbital floor reconstruction. Material and methods: A retrospective study was conducted on 11 patients, having an isolated blow out fracture (n=4) or orbital floor defects associated with other fractures (n=7). These fractures were reconstructed with Mandibular symphysis bone grafts. The Grafts were used where the defects were more than 1.5 centimeter [1]in diameter. Follow up as long as 1.5 year was kept. Patients were evaluated at recall visits by checking various extraoccular movements. Evidence of any complications like diplopia or enopthalmos, or rejection of graft or any symptoms of infection, or of paresthesia was recorded. Results: During a 1.5 year period of follow up, most of the patients had no postoperative complaints. There was good restoration of the orbital floor, with no clinical evidence of enopthalmos or diplopia. Extraoccular movements were intact in all patients. Only one patient presented with the symptoms of infection at a follow up period of 9 months. The infection subsided after removal of titanium plates, used for the stabilization of graft. Conclusion: Autogenous Mandibular Symphysis graft is a good alternative with minimal morbidity for orbital floor reconstruction. The contour as well as the size of the graft available from symphysis region best suits for orbital floor reconstruction. © 2009, Springer.

引用

页码：141 / 144

页数：3

共 14 条

[1]

Rowewilliam'S, Maxillofacial Injuries, 1

[2]

Kontio R., Suuronen R., Konttinen Y.T., Hallikainen D., Lindqvist C., Kommonen B., Kellomaki M., Kylma T., Virtanen I., Laine P., Orbital floor reconstruction with poly — L/D — lactide implants: Clinical, Radiological and immunohistochemical study in sheep, Int J Oral Maxillofac Surg, 33, 4, pp. 361-368, (2004)

[3]

Baumann A., Burggasser G., Gauss N., Ewers R., Orbital floor reconstruction with an Alloplastic resorbable polydioxanone sheet, Int J Oral Maxillofac Surg, 31, 4, pp. 367-373, (2002)

[4]

Krishnan V., Johnson J.V., Orbital floor Reconstruction with autogenous Mandibular symphyseal bone grafts, J Oral Maxillofac Surg, 55, 4, pp. 327-330, (1997)

[5]

Gungormus M., Yilmaz A.B., Ertas U., Akgul H.M., Yavuz M.S., Harorli A., Evaluation of the mandible as an alternative Autogenous Bone Source for Oral and Maxillofacial Reconstruction, J Int Med Res, 30, 3, pp. 260-264, (2002)

[6]

Schwartz-Arad D., Levin L., Intraoral autogenous block onlay bone grafting for extensive reconstruction of atrophic maxillary alveolar ridges, J Periodontol, 76, 4, pp. 636-641, (2005)

[7]

Levin L., Nitzan D., Schwartz-Arad D., Success of dental implants placed in intraoral block bone grafts, 78, 1, pp. 18-21, (2007)

[8]

Bagatin M., Reconstruction of orbital defects with autogenous bone from Mandibular symphysis, J Cranio Maxillofac Surg, 15, 2, pp. 103-105, (1987)

[9]

Cotter C.J., Maher A., Gallagher C., Sleeman D., Mandibular lower border: donar site of choice for alveolar grafting, Br J Oral Maxillofac Surg, 40, 5, pp. 429-432, (2002)

[10]

Misch C.M., Misch C.E., Resnik R.R., Ismail Y.H., Reconstruction of maxillary alveolar defects with Mandibular symphysis grafts for dental implants, Int J Oral Maxillofac Implants, 7, 3, pp. 360-366, (1992)

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