Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report
Maxillofacial reconstructions with free grafts have become a routine reality for plastic surgeons and maxillofacial surgeons in the last decade. This condition usually occurs after radical treatment of benign or malignant pathologies of the stomatognathic complex, through en bloc resections with a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2022-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/17046/59128_CE(AD)_F[SH]_PF1(AKA_SS)_PN(SS).pdf |
| Summary: | Maxillofacial reconstructions with free grafts have become a routine reality for plastic surgeons and maxillofacial surgeons in the last
decade. This condition usually occurs after radical treatment of benign or malignant pathologies of the stomatognathic complex, through
en bloc resections with a safety margin to reduce the chances of recurrence of the pathology. One of the great challenges faced by
surgical teams is no longer just in relation to the technique used for planning, but the predictability and maintenance of the graft performed
in the face of systemic changes that can compromise the success of the graft, such as diabetes mellitus. Several aspects have been
explored in recent years, such as the use of ozone, synthetic membranes, formation of Leukocyte and Platelet Rich Fibrin (L-PRF) and
hyperbaric therapy in the quest to maximize the chances of graft success, reducing the chances of infection and bone resorption mainly
through osteoinductive and osteogenic stimuli, which are not characteristics present in a metabolic dysfunction such as diabetes. Another
important data for these types of surgery is the bone quality offered by the donor bed, because in maxillofacial reconstructions, a balance
in the amount of corticalized bone and medullary bone is important, which leads us to characteristics such as the best donor bed for these
surgical reconstructions in the iliac crest region. Here the authors present a case of 64-year old male hypertensive patient with history
of (h/o) diabetes mellitus, managed by a mandibular reconstruction surgery with iliac crest graft associated with L-PRF and hyperbaric
oxygen therapy after extensive resection of a benign mandibular tumour in a patient with diabetes mellitus. |
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| ISSN: | 2249-782X 0973-709X |