• African health sciences · Sep 2019

    Mandibular reconstruction with autogenous non-vascularised bone graft.

    • Ramat Oyebunmi Braimah, Adebayo Aremu Ibikunle, Umar Abubakar, Abdurrazaq Olanrewaju Taiwo, Muhammed Oboirien, Francis Adewale Adejobi, Terry Godwin Ndubuisi, and Siddiq Abubakar.
    • Department of Dental and Maxillofacial Surgery, Usmanu Danfodio University Teaching Hospital, Sokoto, Nigeria. robdeji@yahoo.com., bunmibraimah@gmail.com Phone number +234 803 583 9900.
    • Afr Health Sci. 2019 Sep 1; 19 (3): 2768-2777.

    BackgroundReconstruction of mandibular defects can be challenging because an acceptable aesthetic and functional outcome must be achieved simultaneously.AimTo evaluate the pattern of mandibulectomy and reconstruction materials used in the reconstruction of mandibular defects.Materials And MethodsThis was a retrospective study of mandibulectomies with reconstruction in Sokoto, Nigeria between 2012 and 2016. Data such as demographics, type of tumour, type of resection and type of reconstruction materials used were extracted and stored.ResultsFifty-two cases of mandibulectomies were done comprising 24 males and 28 females (ratio 1:1.2). Age ranged 5-80 years with mean±SD (37.8±15). Most of the cases 30 (57.7%) were on the right. There are 35 (67.3%) benign and 17 (32.7%) malignant cases. Thirty (57.7%) lateral, 16 (30.8%) condylar, 1 (1.9%) central and 5 (9.6%) combined mandibular defects were seen. Reconstruction plate alone was used in 11 (21.2%) cases, reconstruction plate with rib and tibia grafts in 16 (30.8%) cases, reconstruction plate with Iliac crest and tibia grafts in 15 (28.8%) cases. Graft length ranged from 0-20cm. There was satisfactory outcome altogether in 32 (80.0%).ConclusionThis study has shown the types of mandibulectomies and reconstruction materials used in our centre.© 2019 Braimah et al.

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