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Experience with 220 cases of mandibular reconstruction

Identifieur interne : 003000 ( Istex/Corpus ); précédent : 002F99; suivant : 003001

Experience with 220 cases of mandibular reconstruction

Auteurs : Michel Benoist

Source :

RBID : ISTEX:6182BC89C84148B0F56E88BE633983E69C4ACF80

English descriptors

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

Links to Exploration step

ISTEX:6182BC89C84148B0F56E88BE633983E69C4ACF80

Le document en format XML

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<ce:section-title>Summary</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>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%).</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords class="keyword" xml:lang="en">
<ce:section-title>Key-Words</ce:section-title>
<ce:keyword>
<ce:text>Mandibular defects</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Implants</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Bone graft</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>Mandibular reconstruction</ce:text>
</ce:keyword>
</ce:keywords>
</head>
<tail>
<ce:bibliography>
<ce:section-title>References</ce:section-title>
<ce:bibliography-sec>
<ce:bib-reference id="bib1">
<ce:label>Benoist, 1973</ce:label>
<sb:reference>
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<sb:author>
<ce:surname>Benoist</ce:surname>
<ce:given-name>M.</ce:given-name>
</sb:author>
</sb:authors>
<sb:title>
<sb:maintitle>Les causes mécaniques d'échec dans les reconstructions mandibulaires</sb:maintitle>
</sb:title>
</sb:contribution>
<sb:host>
<sb:issue>
<sb:series>
<sb:title>
<sb:maintitle>Rev. franç. Prothèse Maxillo-Faciale</sb:maintitle>
</sb:title>
<sb:volume-nr>2</sb:volume-nr>
</sb:series>
<sb:date>1973</sb:date>
</sb:issue>
<sb:pages>
<sb:first-page>31</sb:first-page>
</sb:pages>
</sb:host>
</sb:reference>
</ce:bib-reference>
<ce:bib-reference id="bib2">
<ce:label>Cantor and Curtis, 1971</ce:label>
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<sb:author>
<ce:surname>Cantor</ce:surname>
<ce:given-name>R.</ce:given-name>
</sb:author>
<sb:author>
<ce:given-name>T.A.</ce:given-name>
<ce:surname>Curtis</ce:surname>
</sb:author>
</sb:authors>
<sb:title>
<sb:maintitle>Prosthetic management of edentulous mandibulectomy patients. I. Anatomic, physiologic, and psychologic considerations</sb:maintitle>
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</sb:contribution>
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<sb:maintitle>J. Prosth. Dent.</sb:maintitle>
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<sb:volume-nr>25</sb:volume-nr>
</sb:series>
<sb:date>1971</sb:date>
</sb:issue>
<sb:pages>
<sb:first-page>446</sb:first-page>
</sb:pages>
</sb:host>
</sb:reference>
</ce:bib-reference>
<ce:bib-reference id="bib3">
<ce:label>Cantor and Curtis, 1971</ce:label>
<sb:reference>
<sb:contribution langtype="en">
<sb:authors>
<sb:author>
<ce:surname>Cantor</ce:surname>
<ce:given-name>R.</ce:given-name>
</sb:author>
<sb:author>
<ce:given-name>T.A.</ce:given-name>
<ce:surname>Curtis</ce:surname>
</sb:author>
</sb:authors>
<sb:title>
<sb:maintitle>Prosthetic management of edentulous mandibulectomy patients. II. Clinical procedures</sb:maintitle>
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<sb:issue>
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<sb:maintitle>J. Prosth. Dent.</sb:maintitle>
</sb:title>
<sb:volume-nr>25</sb:volume-nr>
</sb:series>
<sb:date>1971</sb:date>
</sb:issue>
<sb:pages>
<sb:first-page>546</sb:first-page>
</sb:pages>
</sb:host>
</sb:reference>
</ce:bib-reference>
<ce:bib-reference id="bib4">
<ce:label>Cantor and Curtis, 1971</ce:label>
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<ce:surname>Cantor</ce:surname>
<ce:given-name>R.</ce:given-name>
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<sb:author>
<ce:given-name>T.A.</ce:given-name>
<ce:surname>Curtis</ce:surname>
</sb:author>
</sb:authors>
<sb:title>
<sb:maintitle>Prosthetic management of edentulous mandibulectomy patients. III. Clinical evaluation</sb:maintitle>
</sb:title>
</sb:contribution>
<sb:host>
<sb:issue>
<sb:series>
<sb:title>
<sb:maintitle>J. Prosth. Dent.</sb:maintitle>
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<sb:volume-nr>25</sb:volume-nr>
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<sb:date>1971</sb:date>
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<sb:pages>
<sb:first-page>670</sb:first-page>
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<ce:label>Cernea, et al, 1966</ce:label>
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<sb:maintitle>Reconstitution mandibulaire après résection par greffe osseuse immédiate, sans blocage bimaxillaire</sb:maintitle>
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<sb:volume-nr>67</sb:volume-nr>
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<sb:first-page>672</sb:first-page>
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<ce:label>Conley, 1951</ce:label>
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</sb:author>
</sb:authors>
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<sb:maintitle>Use of vitallium prostheses and implants in reconstruction of the mandibular arch</sb:maintitle>
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<sb:host>
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</sb:title>
<sb:volume-nr>8</sb:volume-nr>
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<sb:date>1951</sb:date>
</sb:issue>
<sb:pages>
<sb:first-page>150</sb:first-page>
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<ce:bib-reference id="bib7">
<ce:label>Conley, 1953</ce:label>
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<sb:contribution langtype="en">
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<ce:surname>Conley</ce:surname>
<ce:given-name>J.J.</ce:given-name>
</sb:author>
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<sb:maintitle>Technique of immediate bone grafting in treatment of benign and malignant tumors of the mandible and a review of 17 consecutive cases</sb:maintitle>
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<sb:volume-nr>6</sb:volume-nr>
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<sb:date>1953</sb:date>
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<sb:pages>
<sb:first-page>568</sb:first-page>
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<ce:label>Martin, 1889</ce:label>
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<sb:date>1889</sb:date>
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<ce:bib-reference id="bib9">
<ce:label>Millard, 1965</ce:label>
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<ce:given-name>D.R.</ce:given-name>
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<sb:maintitle>Immediate reconstruction of the lower jaw</sb:maintitle>
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<sb:date>1970</sb:date>
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<sb:maintitle>Simultaneous resection and reconstruction of parts of the mandible via the intraoral route in patients with and without gross infection</sb:maintitle>
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<sb:maintitle>Oral Surg.</sb:maintitle>
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<sb:volume-nr>21</sb:volume-nr>
</sb:series>
<sb:date>1966</sb:date>
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<sb:pages>
<sb:first-page>568</sb:first-page>
</sb:pages>
</sb:host>
</sb:reference>
</ce:bib-reference>
</ce:bibliography-sec>
</ce:bibliography>
</tail>
</article>
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<title>Experience with 220 cases of mandibular reconstruction</title>
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<title>Experience with 220 cases of mandibular reconstruction</title>
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<name type="personal">
<namePart type="given">Michel</namePart>
<namePart type="family">Benoist</namePart>
<affiliation>Clinic of Stomatology and Maxillo-Facial Surgery (Head: Prof. P. Cernéa, M.D.) University of Paris, France</affiliation>
<description>Michel Benoist, M.D., D.M.D. Service de Stomatologie et de Prothèse Maxillo-Faciale Groupe Hospitalier Pitie-Salpetrière 47, Boulevard de l'Hôpital F-75634 Paris Cedex 13</description>
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<abstract 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%).</abstract>
<note>Paper read at the 3rd Congress of the E.A.M.F.S., London, September 1976.</note>
<subject lang="en">
<genre>Key-Words</genre>
<topic>Mandibular defects</topic>
<topic>Implants</topic>
<topic>Bone graft</topic>
<topic>Mandibular reconstruction</topic>
</subject>
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<date>1978</date>
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