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Costal graft as a support for bone regeneration after mandibular juvenile ossifying fibroma resection: An unusual case report
- Source :
- Journal of Stomatology, Oral and Maxillofacial Surgery, Journal of Stomatology, Oral and Maxillofacial Surgery, Elsevier Masson, 2017, 118 (5), pp.320-325. ⟨10.1016/j.jormas.2017.06.003⟩
- Publication Year :
- 2016
-
Abstract
- International audience; Spontaneous regeneration of bone tissue after mandibular resection is rare in adults, although it does often take place in children. Periosteum conservation appears to play a major role in this healing process. We here report regarding a 5-year-old boy who exhibited a large mandibular trabecular juvenile ossifying fibroma. The lesion was treated by mandibulectomy, with careful preservation of the periosteal layer and immediate reconstruction with a costal graft by an intraoral approach. Monitoring over the course of a year revealed spontaneous mandibular regeneration, and it allowed for a series of measurements of the graft to be made. During this follow-up period, the mandibular height increased from 41.5% to 75.2% (P = 0.0008) of the height of the unaffected mandibular height, while the width grew from 34.4% to 82.8% (P = 0.0078) of the width of the healthy side, thus demonstrating the importance of a conservative approach regarding the periosteum in such situations. The costal graft acted as a support for bone regeneration by immobilizing the remaining bone fragments and by preventing soft-tissue prolapse.
- Subjects :
- Male
medicine.medical_specialty
Bone Regeneration
Mandibular Osteotomy
Dentistry
Ribs
Mandible
Costal graft
Bone tissue
Free Tissue Flaps
Lesion
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Periosteum
Regeneration
Medicine
Humans
Child
Bone regeneration
[SDV.MHEP.RSOA] Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
[SDV.MHEP.GEG] Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology
business.industry
Juvenile ossifying fibroma
Guided Tissue Regeneration
[SDV.MHEP.GEG]Life Sciences [q-bio]/Human health and pathology/Geriatry and gerontology
Regeneration (biology)
030206 dentistry
Surgery
Mandibular Neoplasms
medicine.anatomical_structure
Mandibulectomy
[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
Otorhinolaryngology
030220 oncology & carcinogenesis
Child, Preschool
Fibroma, Ossifying
Oral Surgery
medicine.symptom
Mandibular Reconstruction
business
Organ Sparing Treatments
Subjects
Details
- ISSN :
- 24687855
- Volume :
- 118
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of stomatology, oral and maxillofacial surgery
- Accession number :
- edsair.doi.dedup.....3414fb40b0405447b071a823d42d1a94