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Oral and Maxillofacial Surgery

Published in:

01-03-2017 | Original Article

Reconstruction of tooth-bearing portion of mandible using polyglactin 910 sutures for internal fixation in the third-world: functional and cosmetic outcome

Authors: Bayo Aluko-Olokun, Ademola A. Olaitan, Oluseun A. Aluko-Olokun

Published in: Oral and Maxillofacial Surgery | Issue 1/2017

Abstract

Background

This study analyzed the cosmetic and functional outcome of cases involving reconstruction of tooth-bearing portion of the lower jaw, using a polyglactin 910 suture for fixation.

Patients and method

This prospective intervention study documented the treatment outcome in 25 consecutive adult patients, who underwent immediate mandibular reconstruction following segmental resection of tooth-bearing portion of mandible. Cortico-cancellous bone graft was taken from the inner table of iliac bone, sparing the crest. Use of post-surgical inter-maxillary fixation was avoided.

Results

Twenty-five patients were recruited for the study. Seventeen were males and eight were females. Their ages ranged from 18 to 50 years, with a mean of 30.0 years. Average length of grafted bone was 9.8 cm. Following surgery, all 25 (100%) patients were judged to have satisfactory facial symmetry. One (4.0 %) had altered dental occlusion. Twenty-five (100%) had satisfactory bone union. All of the patients claimed to masticate satisfactorily. Assessment was carried out at the last post-operative follow-up visit for each patient who ranged between 22 and 83 months.

Conclusion

Use of polyglactin 910 suture material for fixation in mandibular reconstruction following segmental resection of tooth-bearing portion has proven to be a cosmetic and functional success. It may serve as alternative for those among whom conventional treatment methods may be contraindicated. This method of bone fixation may serve as a reliable and much cheaper alternative in low-income countries.

Level of evidence

Level IV, therapeutic study.

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Title: Reconstruction of tooth-bearing portion of mandible using polyglactin 910 sutures for internal fixation in the third-world: functional and cosmetic outcome
Authors: Bayo Aluko-Olokun
Ademola A. Olaitan
Oluseun A. Aluko-Olokun
Publication date: 01-03-2017
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 1/2017
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-016-0589-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Reconstruction of tooth-bearing portion of mandible using polyglactin 910 sutures for internal fixation in the third-world: functional and cosmetic outcome

Abstract

Background

Patients and method

Results

Conclusion

Level of evidence

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Patients and method

Results

Conclusion

Level of evidence

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