ABSTRACT
The treatment of reconstructions of mandible by means of autogenic bone graft in 64 patients has been presented (Fig. 1). In 55 cases the bone material was taken from the iliac crest, in 5--the skin-muscle flap, in 4--the free bone graft from VIII rib and tibial bones. The resection in 47 patients was performed because of malignant neoplasms, in 4 cases--oral and mandibular benign neoplasms, in 3 cases a part of the mandible was resected because of the osteodystrophy, in 3 cases due to osteoradionecrosis, in 3 cases--congenital anomalies, in 2 cases because of a cyst, while in other 2--after an injury. Clinical parameters were evaluated: cosmesis, mastication, deglutition, diet, speech, and the use of dentures. The positive result was obtained in 84% cases. Cosmesis was improved in patients who had immediate restoration of mandibular reconstruction due to previous scarring. Mastication was poorer in the reconstructed group due to scarring, loss of the muscles of mastication, and inhibition of compensation of mandibular motion. Deglutition was not improved in patients who had mandibular continuity resorbed. Problems with deglutition were related to soft tissue resection. Speech and prosthetic rehabilitation was poor in both groups in patients. In 5% of patients, there was a slight extraoral graft denudation and the development of organic inflammatory process in the surrounding tissues and the graft itself. Application of the appropriate pharmacological and local treatments was sufficient for the maintenance of the graft and its normal healing. Negative result of the mandible reconstruction was observed in 11% of cases. In the patients with immediate reconstruction, more than 50% of the bone grafts resorbed.
Subject(s)
Bone Transplantation/methods , Mandible/surgery , Mandibular Diseases/surgery , Adult , Female , Humans , Male , Mandibular Neoplasms/surgery , Postoperative Complications , Surgical Flaps/methods , Treatment OutcomeABSTRACT
A method of skin-muscular flaps construction is being discussed together with their use for the reconstruction of the organs after oncological surgery of the head and neck. Own experience with the use of such flaps in 83 cases are also discussed.
Subject(s)
Head and Neck Neoplasms/surgery , Pectoralis Muscles/transplantation , Skin Transplantation/methods , Surgical Flaps , Adult , Head and Neck Neoplasms/rehabilitation , Humans , Laryngeal Neoplasms/rehabilitation , Laryngeal Neoplasms/surgery , Male , Middle Aged , Parotid Neoplasms/rehabilitation , Parotid Neoplasms/surgery , Tonsillar Neoplasms/rehabilitation , Tonsillar Neoplasms/surgeryABSTRACT
A case of a part of thyroid tissue dislocation to the base of the tongue in a 36-year-old patient with euthyreosis has been described.
