Bayo Aluko-Olokun1, Ademola A Olaitan2, Oluseun A Aluko-Olokun2. 1. Department of Facial Surgery, National Hospital, Abuja, Nigeria. balukoolokun@gmail.com. 2. Department of Facial Surgery, National Hospital, Abuja, Nigeria.
Abstract
BACKGROUND: This study analyzed the cosmetic and functional outcome of cases involving reconstruction of tooth-bearing portion of the lower jaw, using a polyglactin 910 suture for fixation. PATIENTS AND METHOD: This prospective intervention study documented the treatment outcome in 25 consecutive adult patients, who underwent immediate mandibular reconstruction following segmental resection of tooth-bearing portion of mandible. Cortico-cancellous bone graft was taken from the inner table of iliac bone, sparing the crest. Use of post-surgical inter-maxillary fixation was avoided. RESULTS: Twenty-five patients were recruited for the study. Seventeen were males and eight were females. Their ages ranged from 18 to 50 years, with a mean of 30.0 years. Average length of grafted bone was 9.8 cm. Following surgery, all 25 (100%) patients were judged to have satisfactory facial symmetry. One (4.0 %) had altered dental occlusion. Twenty-five (100%) had satisfactory bone union. All of the patients claimed to masticate satisfactorily. Assessment was carried out at the last post-operative follow-up visit for each patient who ranged between 22 and 83 months. CONCLUSION: Use of polyglactin 910 suture material for fixation in mandibular reconstruction following segmental resection of tooth-bearing portion has proven to be a cosmetic and functional success. It may serve as alternative for those among whom conventional treatment methods may be contraindicated. This method of bone fixation may serve as a reliable and much cheaper alternative in low-income countries. LEVEL OF EVIDENCE: Level IV, therapeutic study.
BACKGROUND: This study analyzed the cosmetic and functional outcome of cases involving reconstruction of tooth-bearing portion of the lower jaw, using a polyglactin 910 suture for fixation. PATIENTS AND METHOD: This prospective intervention study documented the treatment outcome in 25 consecutive adult patients, who underwent immediate mandibular reconstruction following segmental resection of tooth-bearing portion of mandible. Cortico-cancellous bone graft was taken from the inner table of iliac bone, sparing the crest. Use of post-surgical inter-maxillary fixation was avoided. RESULTS: Twenty-five patients were recruited for the study. Seventeen were males and eight were females. Their ages ranged from 18 to 50 years, with a mean of 30.0 years. Average length of grafted bone was 9.8 cm. Following surgery, all 25 (100%) patients were judged to have satisfactory facial symmetry. One (4.0 %) had altered dental occlusion. Twenty-five (100%) had satisfactory bone union. All of the patients claimed to masticate satisfactorily. Assessment was carried out at the last post-operative follow-up visit for each patient who ranged between 22 and 83 months. CONCLUSION: Use of polyglactin 910 suture material for fixation in mandibular reconstruction following segmental resection of tooth-bearing portion has proven to be a cosmetic and functional success. It may serve as alternative for those among whom conventional treatment methods may be contraindicated. This method of bone fixation may serve as a reliable and much cheaper alternative in low-income countries. LEVEL OF EVIDENCE: Level IV, therapeutic study.
Authors: Ingo N Springer; Bjorn Wannicke; Patrick H Warnke; Oliver Zernial; Jorg Wiltfang; Paul A J Russo; Hendrik Terheyden; Andreas Reinhardt; Stefan Wolfart Journal: Ann Plast Surg Date: 2007-08 Impact factor: 1.539
Authors: Jop P Verweij; Pascal N W J Houppermans; Gertjan Mensink; J P Richard van Merkesteyn Journal: Br J Oral Maxillofac Surg Date: 2014-06-19 Impact factor: 1.651