Lower jaw reconstruction using a vascularized bone graft is the main stage of complex rehabilitation of a child with lower jaw osteoblastoclastoma

Abstract

BACKGROUND: Jaw bone benign tumors and dysplasia in childhood often have an aggressive growth pattern, which requires early radical operations. Uneven growth and changing morphological characteristics of the child’s dentofacial apparatus imply stage-by-stage bone and plastic surgery in the maxillofacial region.

CLINICAL CASE: The paper presents a clinical observation of the medical rehabilitation of a patient from 5 to 24 years old with lower jaw osteoblastoclastoma following our proposed algorithm.

DISCUSSION: The presented clinical observation demonstrates all the main stages of medical rehabilitation of a child with a benign lower jaw neoplasm. Along with timely and fully operative neoplasm removal, rational dental prosthetics, and dispensary observation with X-ray diagnostics play an important role in the child’s growth period. All these measures were important to prevent a possible neoplasm recurrence, partially maintain the masticatory function for the growth period, and avoid secondary postoperative dental apparatus deformities. The age of repeated surgery to replace the titanium structure with autosteal tissue depends on the individual characteristics of patients. The operation can be performed, in some cases, starting from age 16–17 years.

CONCLUSIONS: Successful treatment of children with benign neoplasms of the lower jaw after post-resection defects is a complex multi-stage process of medical rehabilitation, of which the completion, most often, passes into the adult period.

Keywords

children / jaw neoplasm / stages of rehabilitation / reconstruction / vascularized graft

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RIGHTS & PERMISSIONS

Semyonov M.G., Golyana S.I., Michalov V.V., Afonichev K.A., Fillippova O.V., Stepanova Y.V.