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...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-10-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17046/59128_CE(AD)_F[SH]_PF1(AKA_SS)_PN(SS).pdf |
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| author | Cristóvão Marcondes De Castro Rodrigues Izabella Sol Daniela Meneses Santos Cláudia Jordão Silva Jonas Dantas Batista |
| author_facet | Cristóvão Marcondes De Castro Rodrigues Izabella Sol Daniela Meneses Santos Cláudia Jordão Silva Jonas Dantas Batista |
| author_sort | Cristóvão Marcondes De Castro Rodrigues |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T21:36:40Z |
| format | Article |
| id | doaj.art-112eb34137004ad99df2ef7472bb9629 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T21:36:40Z |
| publishDate | 2022-10-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-112eb34137004ad99df2ef7472bb96292023-01-19T11:13:09ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-10-011610ZD18ZD2010.7860/JCDR/2022/59128.17046Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report Cristóvão Marcondes De Castro Rodrigues0Izabella Sol1Daniela Meneses Santos2Cláudia Jordão Silva3Jonas Dantas Batista4Oral and Maxillofacial Surgeon, Hospital de Clínicas da Universidade Federal de Uberlândia, Faculty of Dentistry, Department of Medicine, University of Taubaté, São Paulo, Brazil.Master’s Student in Oral and Maxillofacial Surgery at the Faculty of Dentistry of Araçatuba, Department of Oral and Maxillofacial Surgery and Traumatology Universidade Estadual Paulista Araçatuba, São, Paulo, Brazil.Master’s in Health Sciences from the Federal University of Sergipe, Department of Morphology at the Center for Biological and Health Sciences, Universidade Federal de Sergipe Aracajú, Sergipe, Brazil.Doctor, Dental Clinic, Faculty of Dentistry of Piracicaba, FOP/UNI CAMP, Department of Oral and Maxillofacial Surgery and Traumatology and Implantology Universidade Federal de Uberlândia, Minas, Gerais, Brazil.Doctor, Dental Clinic, Pontifícia Universidade Católica do Rio Grande do Sul, Department of Oral and Maxillofacial Surgery and Traumatology and Implantology Universidade Federal de Uberlândia, Minas, Gerais, Brazil.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.https://www.jcdr.net/articles/PDF/17046/59128_CE(AD)_F[SH]_PF1(AKA_SS)_PN(SS).pdfiliumjawleukocyte and platelet rich fibrinoxygenation |
| spellingShingle | Cristóvão Marcondes De Castro Rodrigues Izabella Sol Daniela Meneses Santos Cláudia Jordão Silva Jonas Dantas Batista Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report Journal of Clinical and Diagnostic Research ilium jaw leukocyte and platelet rich fibrin oxygenation |
| title | Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report |
| title_full | Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report |
| title_fullStr | Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report |
| title_full_unstemmed | Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report |
| title_short | Mandibular Reconstruction with Iliac Crest Graft Associated with L-PRF and Hyperbaric Oxygen Therapy: A Case Report |
| title_sort | mandibular reconstruction with iliac crest graft associated with l prf and hyperbaric oxygen therapy a case report |
| topic | ilium jaw leukocyte and platelet rich fibrin oxygenation |
| url | https://www.jcdr.net/articles/PDF/17046/59128_CE(AD)_F[SH]_PF1(AKA_SS)_PN(SS).pdf |
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