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  Contents > Previous page > Article detail print Order
o Issue N# 3 - 2014 o

MAXILLO-FACIAL

Free novascularized bone graft evolution after mandi­bu­­lar resections: 45 cases report


Authors : Benzaouia A, Serghini S, Oukessou Y, Abada R, Rouadi S, Mahtar M, Roubal M, Kadiri F. (Casablanca)

Ref. : Rev Laryngol Otol Rhinol. 2014;135,3:145-150.

Article published in french
Downloadable PDF document french



Summary : The resection of mandibular benign tumors often require reconstruction. The purpose of our study is to present the middle and long-term results of 45 patients, treated by free no­vascu­larized bone graft after resection of benign tumors, domi­nated by the ameloblastoma. The PSIM type III hemimandi­bu­lectomy was the most frequent (58%). A combined approach was necessary in the majority of cases. The imme­diate recons­truction by cortico­spon­geal iliac grafts fixed by screws plaques with inter­maxillary blockage was the most used technique (95%). The mean follow was 4.5 years. The evolution was marked by good osteointegration of the graft, with good func­tional and morpho­logic results in 40%. The infection and bone resorption represented the major complications and were interrelated, so the infection was noted in 9 cases. The bone resorption hampered the evolution with a bad functional and morphological result in 4 cases (9%).

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