Annals of maxillofacial surgery · 2023
Microvascularized Fibular Bone Grafting for the Treatment of Mandibular Expansive Osseous Dysplasia - A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Barbeiro Camila de Oliveira, Verzola Mario Henrique Arruda, Barbeiro Roberto Henrique, Tachibana Wilson Tadao, León Jorge Esquiche, Bufalino Andreia
Аннотация
RATIONALE: Osseous dysplasia (OD) is a benign fibro-osseous lesion classified as periapical, focal or florid with some rare cases being diagnosed as expansive OD.
PATIENT CONCERNS: A 43-year-old female presented with gross mandible expansion and tooth displacement.
DIAGNOSIS: Imaging scans revealed an expansive lesion in the anterior mandible, with varying opacity in the central region, and other smaller lesions in the region of teeth #37 and #47, consistent with expansive OD.
TREATMENT: Surgical resection followed by immediate reconstruction of the mandibular defect using a microvascularized fibular graft.
OUTCOMES: The patient had a 4-year follow-up, with adequate mandibular bone continuity, mastication, swallowing, and speaking ability reestablished.
TAKE-AWAY LESSONS: Immediate reconstruction after large surgical resection is required as tissues retract over time, hampering late reconstructions. Microvascularized fibular graft aims at adequate and functional rehabilitation with osseointegrated implants and long-term follow-up is needed as florid OD may evolve into expansive OD.
PATIENT CONCERNS: A 43-year-old female presented with gross mandible expansion and tooth displacement.
DIAGNOSIS: Imaging scans revealed an expansive lesion in the anterior mandible, with varying opacity in the central region, and other smaller lesions in the region of teeth #37 and #47, consistent with expansive OD.
TREATMENT: Surgical resection followed by immediate reconstruction of the mandibular defect using a microvascularized fibular graft.
OUTCOMES: The patient had a 4-year follow-up, with adequate mandibular bone continuity, mastication, swallowing, and speaking ability reestablished.
TAKE-AWAY LESSONS: Immediate reconstruction after large surgical resection is required as tissues retract over time, hampering late reconstructions. Microvascularized fibular graft aims at adequate and functional rehabilitation with osseointegrated implants and long-term follow-up is needed as florid OD may evolve into expansive OD.