Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy

Extensive resection of tumor often results in bone and soft tissue defects that cause functional and esthetic consequences. The reconstructive surgery is extremely important for the rehabilitation of these patients. The purpose of this study is to report on the use of Hyperbaric Oxygen therapy (HBO)...

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Autores principales:	Pastore,Gabriel Pires, Martins,Ivan Solani, Goulart,Douglas Rangel, Prati,Alexandre Javaroni, de Moraes,Márcio, Pastore,Patrícia Radaic, de Toledo,Manuel Claro
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2016
Materias:	bone transplantation hyperbaric oxygenation mandible odontogenic tumors
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2016000300006
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spelling	oai:scielo:S0718-381X20160003000062017-02-15Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen TherapyPastore,Gabriel PiresMartins,Ivan SolaniGoulart,Douglas RangelPrati,Alexandre Javaronide Moraes,MárcioPastore,Patrícia Radaicde Toledo,Manuel Claro bone transplantation hyperbaric oxygenation mandible odontogenic tumors Extensive resection of tumor often results in bone and soft tissue defects that cause functional and esthetic consequences. The reconstructive surgery is extremely important for the rehabilitation of these patients. The purpose of this study is to report on the use of Hyperbaric Oxygen therapy (HBO) in the case of a large ameloblastoma treated with segmental resection and reconstructed immediately with nonvascularized bone graft (NVBGs) from iliac crest. A 41-year-old woman was referred to our department because of paresthesia of the inferior alveolar nerve and history of swelling in the molar and ramus region of the left mandible. Panoramic radiograph depicting well-defined multilocular radiolucency extending from second pre-molar region to the left ramus region. An incisional biopsy confirms the diagnosis of solid ameloblastoma. The treatment of choice was segmental mandibular resection and immediate mandibular reconstruction using NVBGs from iliac crest, followed by removal of internal fixation and placement of dental implants with immediate loading. The patient received preoperative HBO (a 90-min session at 2.2-2.4 atmospheres, five times per week for two weeks, for a total of up to 10 sessions). Postoperative HBO (10 further 90-min sessions) was administered within 2weeks. The patient received rehabilitation with a mandibular implant-supported fixed complete dental prosthesis. The present study showed successful management of mandibular ameloblastoma that associated extensive surgery, immediate reconstruction with NVBGs from iliac crest, hyperbaric oxygen therapy and dental implants. These combined procedures allowed removal of lesion and reestablishment of mandibular contour and function.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.10 n.3 20162016-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2016000300006en10.4067/S0718-381X2016000300006
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	bone transplantation hyperbaric oxygenation mandible odontogenic tumors
spellingShingle	bone transplantation hyperbaric oxygenation mandible odontogenic tumors Pastore,Gabriel Pires Martins,Ivan Solani Goulart,Douglas Rangel Prati,Alexandre Javaroni de Moraes,Márcio Pastore,Patrícia Radaic de Toledo,Manuel Claro Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy
description	Extensive resection of tumor often results in bone and soft tissue defects that cause functional and esthetic consequences. The reconstructive surgery is extremely important for the rehabilitation of these patients. The purpose of this study is to report on the use of Hyperbaric Oxygen therapy (HBO) in the case of a large ameloblastoma treated with segmental resection and reconstructed immediately with nonvascularized bone graft (NVBGs) from iliac crest. A 41-year-old woman was referred to our department because of paresthesia of the inferior alveolar nerve and history of swelling in the molar and ramus region of the left mandible. Panoramic radiograph depicting well-defined multilocular radiolucency extending from second pre-molar region to the left ramus region. An incisional biopsy confirms the diagnosis of solid ameloblastoma. The treatment of choice was segmental mandibular resection and immediate mandibular reconstruction using NVBGs from iliac crest, followed by removal of internal fixation and placement of dental implants with immediate loading. The patient received preoperative HBO (a 90-min session at 2.2-2.4 atmospheres, five times per week for two weeks, for a total of up to 10 sessions). Postoperative HBO (10 further 90-min sessions) was administered within 2weeks. The patient received rehabilitation with a mandibular implant-supported fixed complete dental prosthesis. The present study showed successful management of mandibular ameloblastoma that associated extensive surgery, immediate reconstruction with NVBGs from iliac crest, hyperbaric oxygen therapy and dental implants. These combined procedures allowed removal of lesion and reestablishment of mandibular contour and function.
author	Pastore,Gabriel Pires Martins,Ivan Solani Goulart,Douglas Rangel Prati,Alexandre Javaroni de Moraes,Márcio Pastore,Patrícia Radaic de Toledo,Manuel Claro
author_facet	Pastore,Gabriel Pires Martins,Ivan Solani Goulart,Douglas Rangel Prati,Alexandre Javaroni de Moraes,Márcio Pastore,Patrícia Radaic de Toledo,Manuel Claro
author_sort	Pastore,Gabriel Pires
title	Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy
title_short	Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy
title_full	Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy
title_fullStr	Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy
title_full_unstemmed	Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy
title_sort	surgical management of mandibular ameloblastoma and immediate reconstruction with nonvascularized bone graft and hyperbaric oxygen therapy
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2016000300006
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Surgical Management of Mandibular Ameloblastoma and Immediate Reconstruction with Nonvascularized Bone Graft and Hyperbaric Oxygen Therapy

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