Mandibular reconstruction with autogenous non-vascularised bone graft.

Abstract:

Background:Reconstruction of mandibular defects can be challenging because an acceptable aesthetic and functional outcome must be achieved simultaneously. Aim:To evaluate the pattern of mandibulectomy and reconstruction materials used in the reconstruction of mandibular defects. Materials and methods:This was a retrospective study of mandibulectomies with reconstruction in Sokoto, Nigeria between 2012 and 2016. Data such as demographics, type of tumour, type of resection and type of reconstruction materials used were extracted and stored. Results:Fifty-two cases of mandibulectomies were done comprising 24 males and 28 females (ratio 1:1.2). Age ranged 5-80 years with mean±SD (37.8±15). Most of the cases 30 (57.7%) were on the right. There are 35 (67.3%) benign and 17 (32.7%) malignant cases. Thirty (57.7%) lateral, 16 (30.8%) condylar, 1 (1.9%) central and 5 (9.6%) combined mandibular defects were seen. Reconstruction plate alone was used in 11 (21.2%) cases, reconstruction plate with rib and tibia grafts in 16 (30.8%) cases, reconstruction plate with Iliac crest and tibia grafts in 15 (28.8%) cases. Graft length ranged from 0-20cm. There was satisfactory outcome altogether in 32 (80.0%). Conclusion:This study has shown the types of mandibulectomies and reconstruction materials used in our centre.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Braimah RO,Ibikunle AA,Abubakar U,Taiwo AO,Oboirien M,Adejobi FA,Ndubuisi TG,Abubakar S

doi

10.4314/ahs.v19i3.53

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

2768-2777

issue

3

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v19.i3.pg2768

journal_volume

19

pub_type

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