Mandibular reconstruction of a post-surgical deformity due to trauma

Revista Cubana de Estomatología

González Vargas, Leticia¹  Basulto Varela, José Felipe¹  Morales Navarro, Denia¹  Álvarez Garrido, David¹ 

[1] Facultad de Estomatología Raúl González Sánchez, La Habana, Cuba

关键词: Mandibular reconstruction;    trauma;    bone graft;    surgical fixation devices;   

DOI  :  

学科分类：基础医学

来源: SciELO

【 摘 要 】

The need for mandibular reconstruction is dictated by bone loss due to trauma among other causes. The purpose of the study was to present a case of mandibular reconstruction of a post-surgical deformity due to trauma. A 34-year-old male patient presents with dissatisfaction with his dentofacial appearance and difficulty chewing. About one year before he had undergone facial trauma, for which had been cared for at the emergency service and had been operated on. Bone stabilization was performed as well as placement of a mandibular reconstruction plate. The patient presented facial asymmetry, a diminished lower facial third and mobility in mandibular bone segments. Therefore, it was decided to perform removal of the existing plate, rearrangement of the bone segments, placement of an autologous iliac crest bone graft and surgical fixation. Good post-operative evolution was observed. Esthetic and functional impairment in a young patient with a post-surgical deformity due to trauma led to planning a mandibular reconstruction with a rigid plate and an iliac crest graft. Treatment in this case was professionally challenging, for the post-surgical deformity had been due to high energy trauma, but the surgical work performed ensured satisfactory results.

【 授权许可】

CC BY-NC