RESUMO
PURPOSE: Retinoblastoma is a congenital malignant neoplasm of retinal tissue. Reports of metastasis to the mandible are rare. Successful retinoblastoma management has led to a dramatic improvement in survival rates. Increasing numbers of surviving patients require reconstruction of the defects caused by the ablation of such metastasis. PATIENT AND METHODS: This article describes the management of a pediatric mandibular defect secondary to the resection of a metastatic retinoblastoma. RESULTS: A unique application of the soft tissue matrix expansion technique, otherwise known as the "tent-pole" graft, which has been previously described in adults with severe mandibular atrophy, was utilized in the pediatric patient. CONCLUSION: The soft tissue matrix expansion grafting technique can be successfully utilized in the reconstruction of ablative defects in pediatric patients.
Assuntos
Mandíbula/cirurgia , Neoplasias Mandibulares/secundário , Procedimentos de Cirurgia Plástica/métodos , Neoplasias da Retina/patologia , Retinoblastoma/secundário , Expansão de Tecido/métodos , Transplante Ósseo/métodos , Pré-Escolar , Implantes Dentários , Seguimentos , Humanos , Masculino , Neoplasias Mandibulares/cirurgia , Periósteo/cirurgia , Neoplasias da Retina/cirurgia , Retinoblastoma/cirurgia , Retalhos CirúrgicosRESUMO
Necrotizing fasciitis of the face is extremely rare. However, dentists should be familiar with the presentation of this condition because of the suddenness of its onset, the rapidity of its spread, the resulting drastically disfiguring morbidity and the high rate of mortality associated with it. In this paper, we describe the presentation and treatment of a 57-year-old woman with necrotizing fasciitis of the face and neck due to dental causes and discuss factors in the management of this life-threatening condition.
