Email this article Lower jaw reconstruction using a vascularized bone graft is the main stage of complex rehabilitation of a child with lower jaw osteoblastoclastoma
- Authors: Semyonov M.G.1,2, Golyana S.I.3, Michalov V.V.2, Afonichev K.A.1, Fillippova O.V.1, Stepanova Y.V.1
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Affiliations:
- H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
- North-Western State Medical University named after I.I. Mechnikov
- H. Turner National Medical Research Centre for Children’s Orthopedics and Trauma Surgery
- Issue: Vol 9, No 4 (2021)
- Pages: 455-464
- Section: Clinical cases
- URL: https://journals.rcsi.science/turner/article/view/73184
- DOI: https://doi.org/10.17816/PTORS73184
- ID: 73184
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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.
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##article.viewOnOriginalSite##About the authors
Mikhail G. Semyonov
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; North-Western State Medical University named after I.I. Mechnikov
Email: sem_mikhail@mail.ru
ORCID iD: 0000-0002-0803-1923
SPIN-code: 2603-1085
MD, PhD, рrofessor, Head of the Department of Maxillofacial Surgery and Surgical Dentistry, Leading Researcher
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603; 41, Kirochnaya street, Saint-Petersburg, 191015Sergey I. Golyana
H. Turner National Medical Research Centre for Children’s Orthopedics and Trauma Surgery
Email: ser.golyana@yandex.ru
ORCID iD: 0000-0003-1319-8979
SPIN-code: 8360-8078
MD, PhD, Scientific Supervisor Department of Reconstructive Microsurgery and Hand Surgery
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Vasily V. Michalov
North-Western State Medical University named after I.I. Mechnikov
Email: vm911@mail.ru
ORCID iD: 0000-0002-8593-2039
MD, PhD, Associate Professor of the Department of Maxillofacial Surgery and Surgical Dentistry
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Konstantin A. Afonichev
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: afonichev@list.ru
ORCID iD: 0000-0002-6460-2567
SPIN-code: 5965-6506
MD, PhD, D.Sc., Head of the Department of Trauma Sequelae and Rheumatoid Arthritis
Russian Federation, 64-68, Parkovaya str., Saint-Petersburg, Pushkin, 196603Olga V. Fillippova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Email: olgail@mail.ru
ORCID iD: 0000-0002-1002-0959
SPIN-code: 8055-4840
MD, PhD, D.Sc.
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603Yulia V. Stepanova
H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: turner8ord@gmail.com
ORCID iD: 0000-0001-7064-3069
SPIN-code: 8606-0381
MD, PhD, Chief of the Department of Maxillofacial Surgery
Russian Federation, 64-68 Parkovaya str., Pushkin, Saint Petersburg, 196603References
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