Reconstruction of mandibular defects with autogenous bone grafts: a review of 30 cases

Background: Multitudes of options are available for reconstruction of functional and cosmetic defects of the mandible, caused by various ailments. At the present time, autogenous bone grafting is the gold standard by which all other techniques of reconstruction of the mandible can be judged. The purpose of this study was to evaluate the outcome of different osseous reconstruction options using autogenous bone grafts for mandibular reconstruction. Methods: This Interventional study was conducted at Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital Lahore, from January 2008 to July 2009 including one year follow-up. The study was carried out on thirty patients having bony mandibular defects. They were reconstructed with the autogenous bone grafts from different graft donor sites. On post-operative visits they were evaluated for outcome variables. Results: Success rate of autogenous bone grafts in this study was 90%. Only 10% of the cases showed poor results regarding infection, resorption and graft failure. Conclusion: Autogenous bone grafts, non-vascularised or vascularised, are a reliable treatment modality for the reconstruction of the bony mandibular defects with predictable functional and aesthetic outcome

Cervical lymph node metastases in squamous cell carcinoma of tongue and floor of mouth

Oral squamous cell carcinoma has high chances of cervical lymph node metastasis. This case series describes the distribution of cervical lymph nodes in 50 cases of squamous cell carcinoma of tongue and floor of mouth. The mean age was 47.28 +/- 10.5 years. Thirty positive metastatic lymph nodes were found; 90% occurring at level l-ll mostly in T4 size but also in T1 and T2 cases. The distribution of involved lymph nodes in oral cancer affects the neck dissection extent and is, therefore, an important pre-operative feature

Correlation between childhood chin trauma, condylar fracture and TMJ ankylosis

The objective of this study was to document the TMJ ankylosis resulting from trauma to the chin during childhood. All patients presenting with TMJ ankylosis at the Oral and Maxillofacial Surgery Department of Mayo Hospital, Lahore from July 2007 to March 2009 were included in this study. Patient's age, sex, socioeconomic status, previous history of injury to the chin [scar mark under the chin], level of health care center initially contacted, initial treatment received at the time of injury were documented. A total of 180 patients presented with TMJ ankylosis during the study period. 102 [56.7%]were male and 78 [43.3%] were female patients [Male: Female ratio was 1.3:1] with an age range of 4 to 35 years [mean 12.5 years]. 174 [96.7%] patients had a scar mark under their Chin. 120[66.7%] had a history of fall from roof or a tree, 54[30%] were involved in a road traffic accident, all before the age of 10 years