Experience with 220 cases of mandibular reconstruction
Identifieur interne : 000600 ( France/Analysis ); précédent : 000599; suivant : 000601Experience with 220 cases of mandibular reconstruction
Auteurs : Michel Benoist [France]Source :
- Journal of Maxillofacial Surgery [ 0301-0503 ] ; 1978.
English descriptors
- KwdEn :
- Aesthetic consequences, Alveolar process, Benign tumours, Benoist, Better results, Bone graft, Bone grafts, Bony outlines, Chromecobalt alloy, Costal graft, Dental arches, Distal part, Edentulous mandibulectomy patients, Fixation, Fixation part, Fixation parts, Good position, Graft, Horizontal ramus, Immediate reconstruction, Implant, Implants, Intermaxillary fixation, Intraoral, Intraoral route, Inverse position, Local conditions, Malignant tumours, Mandible, Mandibular, Mandibular angle, Mandibular arch, Mandibular defects, Mandibular fragments, Mandibular reconstruction, Mandibular reconstruction experience, Metallic implant, Metallic splint, Normal outline, Obwegeser, Operative indications, Opposite side, Oral surg, Oralen operationsweg, Other hand, Primary repair, Prosthesis, Prosthetic management, Ramus, Resection, Same alloy, Second period, Secondary breakdown, Simultaneous resection, Soft tissues, Surg, Tumour.
- Teeft :
- Aesthetic consequences, Alveolar process, Benign tumours, Benoist, Better results, Bone graft, Bone grafts, Bony outlines, Chromecobalt alloy, Costal graft, Dental arches, Distal part, Edentulous mandibulectomy patients, Fixation, Fixation part, Fixation parts, Good position, Graft, Horizontal ramus, Immediate reconstruction, Implant, Intermaxillary fixation, Intraoral, Intraoral route, Inverse position, Local conditions, Malignant tumours, Mandible, Mandibular, Mandibular angle, Mandibular arch, Mandibular fragments, Mandibular reconstruction, Mandibular reconstruction experience, Metallic implant, Metallic splint, Normal outline, Obwegeser, Operative indications, Opposite side, Oral surg, Oralen operationsweg, Other hand, Primary repair, Prosthesis, Prosthetic management, Ramus, Resection, Same alloy, Second period, Secondary breakdown, Simultaneous resection, Soft tissues, Surg, Tumour.
Abstract
Summary: Extensive resections of the mandible are usually carried out for malignant tumours or non-malignant tumours with a tendency to reccur, such as ameloblastomas. These hemi-resections include the ascending and horizontal ramus of the mandible. Such mutilations have serious functional and aesthetic consequences. In order to avoid these drawbacks we use two sorts of implants. The first are made from metallic and plastic materials. They are used when patients are too weak to support a bone graft, when there is insufficient soft tissue coverage, or when a recurrence of the tumour is feared. In order to be well tolerated they must be made of materials which are fully accepted by the tissues. For the plastic part we use methyl-methacrylate and, for the metal part, “durallium”. The second type is used to maintain a bone graft in good position. It is completely metallic. The pattern is made in wax and reproduced in durallium. They are made and adjusted in the same way as plastic implants. The results are analysed separately covering two periods. In the first (1955–1967), the failures have been relatively large (25%). During the second period (1967–1974), a better choice of operative indications and a more precise technique gave better results (failure: 13%).
Url:
DOI: 10.1016/S0301-0503(78)80067-8
Affiliations:
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<wicri:noRegion>M.D.) University of Paris</wicri:noRegion>
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<series><title level="j">Journal of Maxillofacial Surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aesthetic consequences</term>
<term>Alveolar process</term>
<term>Benign tumours</term>
<term>Benoist</term>
<term>Better results</term>
<term>Bone graft</term>
<term>Bone grafts</term>
<term>Bony outlines</term>
<term>Chromecobalt alloy</term>
<term>Costal graft</term>
<term>Dental arches</term>
<term>Distal part</term>
<term>Edentulous mandibulectomy patients</term>
<term>Fixation</term>
<term>Fixation part</term>
<term>Fixation parts</term>
<term>Good position</term>
<term>Graft</term>
<term>Horizontal ramus</term>
<term>Immediate reconstruction</term>
<term>Implant</term>
<term>Implants</term>
<term>Intermaxillary fixation</term>
<term>Intraoral</term>
<term>Intraoral route</term>
<term>Inverse position</term>
<term>Local conditions</term>
<term>Malignant tumours</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular angle</term>
<term>Mandibular arch</term>
<term>Mandibular defects</term>
<term>Mandibular fragments</term>
<term>Mandibular reconstruction</term>
<term>Mandibular reconstruction experience</term>
<term>Metallic implant</term>
<term>Metallic splint</term>
<term>Normal outline</term>
<term>Obwegeser</term>
<term>Operative indications</term>
<term>Opposite side</term>
<term>Oral surg</term>
<term>Oralen operationsweg</term>
<term>Other hand</term>
<term>Primary repair</term>
<term>Prosthesis</term>
<term>Prosthetic management</term>
<term>Ramus</term>
<term>Resection</term>
<term>Same alloy</term>
<term>Second period</term>
<term>Secondary breakdown</term>
<term>Simultaneous resection</term>
<term>Soft tissues</term>
<term>Surg</term>
<term>Tumour</term>
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<term>Alveolar process</term>
<term>Benign tumours</term>
<term>Benoist</term>
<term>Better results</term>
<term>Bone graft</term>
<term>Bone grafts</term>
<term>Bony outlines</term>
<term>Chromecobalt alloy</term>
<term>Costal graft</term>
<term>Dental arches</term>
<term>Distal part</term>
<term>Edentulous mandibulectomy patients</term>
<term>Fixation</term>
<term>Fixation part</term>
<term>Fixation parts</term>
<term>Good position</term>
<term>Graft</term>
<term>Horizontal ramus</term>
<term>Immediate reconstruction</term>
<term>Implant</term>
<term>Intermaxillary fixation</term>
<term>Intraoral</term>
<term>Intraoral route</term>
<term>Inverse position</term>
<term>Local conditions</term>
<term>Malignant tumours</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular angle</term>
<term>Mandibular arch</term>
<term>Mandibular fragments</term>
<term>Mandibular reconstruction</term>
<term>Mandibular reconstruction experience</term>
<term>Metallic implant</term>
<term>Metallic splint</term>
<term>Normal outline</term>
<term>Obwegeser</term>
<term>Operative indications</term>
<term>Opposite side</term>
<term>Oral surg</term>
<term>Oralen operationsweg</term>
<term>Other hand</term>
<term>Primary repair</term>
<term>Prosthesis</term>
<term>Prosthetic management</term>
<term>Ramus</term>
<term>Resection</term>
<term>Same alloy</term>
<term>Second period</term>
<term>Secondary breakdown</term>
<term>Simultaneous resection</term>
<term>Soft tissues</term>
<term>Surg</term>
<term>Tumour</term>
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<front><div type="abstract" xml:lang="en">Summary: Extensive resections of the mandible are usually carried out for malignant tumours or non-malignant tumours with a tendency to reccur, such as ameloblastomas. These hemi-resections include the ascending and horizontal ramus of the mandible. Such mutilations have serious functional and aesthetic consequences. In order to avoid these drawbacks we use two sorts of implants. The first are made from metallic and plastic materials. They are used when patients are too weak to support a bone graft, when there is insufficient soft tissue coverage, or when a recurrence of the tumour is feared. In order to be well tolerated they must be made of materials which are fully accepted by the tissues. For the plastic part we use methyl-methacrylate and, for the metal part, “durallium”. The second type is used to maintain a bone graft in good position. It is completely metallic. The pattern is made in wax and reproduced in durallium. They are made and adjusted in the same way as plastic implants. The results are analysed separately covering two periods. In the first (1955–1967), the failures have been relatively large (25%). During the second period (1967–1974), a better choice of operative indications and a more precise technique gave better results (failure: 13%).</div>
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