کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3132574 | 1584152 | 2013 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Bilateral sagittal split osteotomy in a mandible previously reconstructed with a non-vascularized bone graft Bilateral sagittal split osteotomy in a mandible previously reconstructed with a non-vascularized bone graft](/preview/png/3132574.png)
We report a bilateral sagittal split osteotomy (BSSO) in a reconstructed mandible. A 28-year-old woman underwent a segmental mandibulectomy due to a multicystic ameloblastoma in the left jaw. After primary plate reconstruction, final reconstruction was performed with a left posterior iliac crest cortico-cancellous autograft. Due to a pre-existing Class II malocclusion, the patient was analyzed for combined orthodontic–surgical treatment. Subsequently, after 1 year of orthodontic treatment, the BSSO was planned. The sagittal split was performed in the remaining right mandible and on the left side in the iliac crest cortico-cancellous autograft. Ten months later, oral rehabilitation was completed with implant placement in the neomandible. Follow-up showed a Class I occlusion, with good function. The patient was very satisfied with the functional and aesthetic results. This case shows that a BSSO can be performed in a reconstructed mandible, without side effects and with good functional and aesthetic results.
Journal: International Journal of Oral and Maxillofacial Surgery - Volume 42, Issue 7, July 2013, Pages 830–834