Delayed mandibular reconstruction following removal of a mesenchymal chondrosarcoma
Identifieur interne : 005E60 ( Istex/Checkpoint ); précédent : 005E59; suivant : 005E61Delayed mandibular reconstruction following removal of a mesenchymal chondrosarcoma
Auteurs : Donald B. Osbon [États-Unis] ; Stephen E. Feinberg [États-Unis] ; Michael W. Finkelstein [États-Unis] ; Robert M. Bumsted [États-Unis] ; Deborah L. Zeitler [États-Unis]Source :
- Oral Surgery, Oral Medicine, Oral Pathology [ 0030-4220 ] ; 1985.
English descriptors
- KwdEn :
- Allogeneic, Allogeneic bone, Allogeneic mandible, Alloplastic tray, Anatomic position, Assistant professor, Autologous, Autologous bone, Basic principles, Bone graft, Cancellous, Cancellous bone, Case report, Chondroblastic type, Chondrosarcoma, Clinical examination, Definitive mandibular reconstruction, Definitive treatment, Extraoral approach, Fixation, Graft, Histopathologic specimen, Hospital dentistry, Hyperchromatic nuclei, Iliac crest, Incisional biopsy, Iowa hospitals, Lesion, Local tumor recurrence, Mandible, Mandibular, Mandibular defects, Mandibular reconstruction, Mandibular resection, Maxillofacial, Maxillofacial surgery, Mesenchymal, Mesenchymal chondrosarcoma, Microscopic features, Odontogenic fibroma, Ohio state university, Oral cavity, Oral surg, Original magnification, Other chondrosarcomas, Partial mandibulectomy, Prosthesis, Recurrence, Resection, Secondary reconstruction, Silicone, Silicone rubber mandibular prosthesis, Silicone rubber prosthesis, Silicone rubber sheet, Soft tissues, Surg, Surgical site, Undifferentiated cells.
- Teeft :
- Allogeneic, Allogeneic bone, Allogeneic mandible, Alloplastic tray, Anatomic position, Assistant professor, Autologous, Autologous bone, Basic principles, Bone graft, Cancellous, Cancellous bone, Case report, Chondroblastic type, Chondrosarcoma, Clinical examination, Definitive mandibular reconstruction, Definitive treatment, Extraoral approach, Fixation, Graft, Histopathologic specimen, Hospital dentistry, Hyperchromatic nuclei, Iliac crest, Incisional biopsy, Iowa hospitals, Lesion, Local tumor recurrence, Mandible, Mandibular, Mandibular defects, Mandibular reconstruction, Mandibular resection, Maxillofacial, Maxillofacial surgery, Mesenchymal, Mesenchymal chondrosarcoma, Microscopic features, Odontogenic fibroma, Ohio state university, Oral cavity, Oral surg, Original magnification, Other chondrosarcomas, Partial mandibulectomy, Prosthesis, Recurrence, Resection, Secondary reconstruction, Silicone, Silicone rubber mandibular prosthesis, Silicone rubber prosthesis, Silicone rubber sheet, Soft tissues, Surg, Surgical site, Undifferentiated cells.
Abstract
Abstract: An unusual case of mesenchymal chondrosarcoma is presented. Initially seen when the patient was 8 years old, the lesion was repeatedly biopsied and curetted with a diagnosis of odontogenic fibroma. In 1971 a diagnosis of osteosarcoma of the chondroblastic type was made. At that time, the patient underwent a partial mandibulectomy with immediate graft. The patient did well until 1981, when a recurrence of the lesion was noted. The microscopic diagnosis at this time was mesenchymal chondrosarcoma. The treatment of this lesion as a staged procedure with initial resection of the mandible and placement of a silicone rubber mandibular prosthesis is discussed. The second stage of the procedure was definitive mandibular reconstruction, with an allogeneic mandible as a crib for autologous particulate cancellous bone from the iliac crest. Although the prognosis of mesenchymal chondrosarcoma is usually grave, this case is unusual because of its long history of multiple procedures performed prior to the definitive treatment of the lesion 14 years after its discovery. Two-year follow-up since the definitive mandibular reconstruction shows adequate range of motion, excellent healing, and no recurrence.
Url:
DOI: 10.1016/0030-4220(85)90180-X
Affiliations:
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ISTEX:3ACE9EB39F70A62993609A841F68E51C13D3B921Le document en format XML
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Zeitler</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dentistry, Iowa City, Iowa</wicri:regionArea><placeName><region type="state">Iowa</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Oral Surgery, Oral Medicine, Oral Pathology</title><title level="j" type="abbrev">OSOMOP</title><idno type="ISSN">0030-4220</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1985">1985</date><biblScope unit="volume">59</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="557">557</biblScope><biblScope unit="page" to="564">564</biblScope></imprint><idno type="ISSN">0030-4220</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0030-4220</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Allogeneic</term><term>Allogeneic bone</term><term>Allogeneic mandible</term><term>Alloplastic tray</term><term>Anatomic position</term><term>Assistant professor</term><term>Autologous</term><term>Autologous bone</term><term>Basic principles</term><term>Bone graft</term><term>Cancellous</term><term>Cancellous bone</term><term>Case report</term><term>Chondroblastic type</term><term>Chondrosarcoma</term><term>Clinical examination</term><term>Definitive mandibular reconstruction</term><term>Definitive treatment</term><term>Extraoral approach</term><term>Fixation</term><term>Graft</term><term>Histopathologic specimen</term><term>Hospital dentistry</term><term>Hyperchromatic nuclei</term><term>Iliac crest</term><term>Incisional biopsy</term><term>Iowa hospitals</term><term>Lesion</term><term>Local tumor recurrence</term><term>Mandible</term><term>Mandibular</term><term>Mandibular defects</term><term>Mandibular reconstruction</term><term>Mandibular resection</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Mesenchymal</term><term>Mesenchymal chondrosarcoma</term><term>Microscopic features</term><term>Odontogenic fibroma</term><term>Ohio state university</term><term>Oral cavity</term><term>Oral surg</term><term>Original magnification</term><term>Other chondrosarcomas</term><term>Partial mandibulectomy</term><term>Prosthesis</term><term>Recurrence</term><term>Resection</term><term>Secondary reconstruction</term><term>Silicone</term><term>Silicone rubber mandibular prosthesis</term><term>Silicone rubber prosthesis</term><term>Silicone rubber sheet</term><term>Soft tissues</term><term>Surg</term><term>Surgical site</term><term>Undifferentiated cells</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Allogeneic</term><term>Allogeneic bone</term><term>Allogeneic mandible</term><term>Alloplastic tray</term><term>Anatomic position</term><term>Assistant professor</term><term>Autologous</term><term>Autologous bone</term><term>Basic principles</term><term>Bone graft</term><term>Cancellous</term><term>Cancellous bone</term><term>Case report</term><term>Chondroblastic type</term><term>Chondrosarcoma</term><term>Clinical examination</term><term>Definitive mandibular reconstruction</term><term>Definitive treatment</term><term>Extraoral approach</term><term>Fixation</term><term>Graft</term><term>Histopathologic specimen</term><term>Hospital dentistry</term><term>Hyperchromatic nuclei</term><term>Iliac crest</term><term>Incisional biopsy</term><term>Iowa hospitals</term><term>Lesion</term><term>Local tumor recurrence</term><term>Mandible</term><term>Mandibular</term><term>Mandibular defects</term><term>Mandibular reconstruction</term><term>Mandibular resection</term><term>Maxillofacial</term><term>Maxillofacial surgery</term><term>Mesenchymal</term><term>Mesenchymal chondrosarcoma</term><term>Microscopic features</term><term>Odontogenic fibroma</term><term>Ohio state university</term><term>Oral cavity</term><term>Oral surg</term><term>Original magnification</term><term>Other chondrosarcomas</term><term>Partial mandibulectomy</term><term>Prosthesis</term><term>Recurrence</term><term>Resection</term><term>Secondary reconstruction</term><term>Silicone</term><term>Silicone rubber mandibular prosthesis</term><term>Silicone rubber prosthesis</term><term>Silicone rubber sheet</term><term>Soft tissues</term><term>Surg</term><term>Surgical site</term><term>Undifferentiated cells</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: An unusual case of mesenchymal chondrosarcoma is presented. Initially seen when the patient was 8 years old, the lesion was repeatedly biopsied and curetted with a diagnosis of odontogenic fibroma. In 1971 a diagnosis of osteosarcoma of the chondroblastic type was made. At that time, the patient underwent a partial mandibulectomy with immediate graft. The patient did well until 1981, when a recurrence of the lesion was noted. The microscopic diagnosis at this time was mesenchymal chondrosarcoma. The treatment of this lesion as a staged procedure with initial resection of the mandible and placement of a silicone rubber mandibular prosthesis is discussed. The second stage of the procedure was definitive mandibular reconstruction, with an allogeneic mandible as a crib for autologous particulate cancellous bone from the iliac crest. Although the prognosis of mesenchymal chondrosarcoma is usually grave, this case is unusual because of its long history of multiple procedures performed prior to the definitive treatment of the lesion 14 years after its discovery. Two-year follow-up since the definitive mandibular reconstruction shows adequate range of motion, excellent healing, and no recurrence.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Iowa</li><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Iowa"><name sortKey="Osbon, Donald B" sort="Osbon, Donald B" uniqKey="Osbon D" first="Donald B." last="Osbon">Donald B. Osbon</name></region><name sortKey="Bumsted, Robert M" sort="Bumsted, Robert M" uniqKey="Bumsted R" first="Robert M." last="Bumsted">Robert M. Bumsted</name><name sortKey="Feinberg, Stephen E" sort="Feinberg, Stephen E" uniqKey="Feinberg S" first="Stephen E." last="Feinberg">Stephen E. Feinberg</name><name sortKey="Finkelstein, Michael W" sort="Finkelstein, Michael W" uniqKey="Finkelstein M" first="Michael W." last="Finkelstein">Michael W. Finkelstein</name><name sortKey="Zeitler, Deborah L" sort="Zeitler, Deborah L" uniqKey="Zeitler D" first="Deborah L." last="Zeitler">Deborah L. Zeitler</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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