International Journal of Oral and Maxillofacial Surgery
Clinical PaperReconstructive SurgeryImmediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study
Section snippets
Materials and methods
From 2003 until 2010, 32 selected but consecutive patients underwent immediate reconstruction of the mandible after ablative surgery for an ameloblastoma. Locations of the ameloblastoma lesions in the mandible of patients who underwent reconstruction are shown in Fig. 1. Five of these patients have been reported on in the preliminary study on 11 patients from the same institution.1 The first six patients of that early series of 11 cases were left out in the current study, since problems had
Results
32 patients (11 males and 21 females) with an average age of 27.7 years were included in this study. The follow-up ranged from 6 months to 7 years; the average was 27.9 months. The particulars of the patients are presented in Table 1. Healing was uneventful in all patients, except three. In one patient a serious infection occurred within 10 days which necessitated continuation of antimicrobial treatment and drainage and rinsing via the submandibular wound. It subsided after protracted use of
Discussion
The follow-up in this group of patients varies (Table 1), which is partly explained by the fact that patients have to travel for several days at considerable cost to reach the maxillofacial unit. The majority of the Tanzanian population has no medical insurance and has to pay the expenses themselves. The results of this study, point towards the viability of the method used, in that adequate reconstructions were achieved leading to a high degree of satisfaction as borne out by the QOL scores of
Funding
Plates and screws were provided by KLS-Martin.
Competing interests
None.
Ethical approval
Not required.
Acknowledgement
The authors would like to express their gratitude to KLS-Martin, Tuttlingen, Germany, for their kind support through donations of titanium plates and screws for all the patients in this study.
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