Replacement of Mandible Defect by a Rib Autotransplant

  • N. G. Barannik Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine, Zaporizhzhia, Ukraine
  • O. O. Mosieyko Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine, Zaporizhzhia, Ukraine
  • O. M. Manukhina Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine, Zaporizhzhia, Ukraine
  • A. V. Sidoryako Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine, Zaporizhzhia, Ukraine
  • K. P. Volchykhina Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine, Zaporizhzhia, Ukraine
DOI: https://doi.org/10.30702/transpaorg/06_20.0112/078-088/035
Keywords: bone plastic, defect of the mandible, non-vascularized autogenous rib graft, regenerative processes

Abstract

Aims. Improve the technique of bone plastics of the mandible with a free autogenous rib graft.
Materials and methods. A retrospective analysis of 41 case histories of patients undergoing surgical treatment in connection with the replacement of the mandibular defectsacquired due to tumors, injuries, osteomyelitis at the clinic of maxillofacial surgery in 2003-2018 was carried out.

The technique of osteoplasty of the mandible with free autogenous rib graft has been improved by expanding the technical possibility of reliable fixation of bone fragments with titanium plates and screws, as well as tight installation of autograft in the bone defect and creating favorable conditions for the primary osseointegration.

The own method of harvesting and formation of autogenous rib graft is proposed. For 15 years, not a single complication was identified and there was no rejection of the free autogenous rib grafts.
Conclusions. This technique is simple, safe, and can be effectively used to reconstruct long-span mandibular defects with minimal complications in selected patients.

 

 

References

  1. Malanchuk VO. [Surgical dentistry and maxillofacial surgery]. Kyiv; 2011. Ukrainian.
  2. Gou L, Yang W, Qiao X, Ye L, Yan K, Li L, Li C. Marginal or segmental mandibulectomy: treatment modality selection for oral cancer: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2018 Jan;47(1):1-10. https://doi.org/10.1016/j.ijom.2017.07.019
  3. Afanasov MG, Lopatin AV, Yasonov SA, Kosyreva TF. [Treatment of post-resection mandibular defects in children]. Detskaya khirurgiya im. Yu.F. Isakova (Yu.F. Isakov Russian Journal of Pediatric Surgery). 2016;20(6):314-319. Russian. http://dx.doi.org/10.18821/1560-9510-2016-20-6-314-319
  4. Tesevich LI, Harbachou FA. [Clinical experience and surgical aspects of the mandibular continuity defects reconstruction using nonvascularized iliac bone grafts]. Mezhdunarodnye obzory: klinicheskaya praktika i zdorove. 2016;1:84-101. Russian.
  5. Sokolov VN, Avetikov DS. [Plastic reconstructive and cosmetic surgery: a hand-in for interns and doctors]. Moscow; 2004. Russian.
  6. Kaprin AD, Polyakov AP, Ratushnyi MV, Matorin OV, Filyushin MM., Vasilyev VN, et al. [A clinical case of single-stage correction of penetration combined orofacial defect with two microsurgical autografts].Head and Neck Tumors (HNT). 2015;5(2):45-54. Russian. https://doi.org/10.17650/2222-1468-2015-5-2-45-54
  7. Peypl AD. [Plastic and reconstructive facial surgery]. Matveeva NL, Panfilova SA, translators. Moscow; 2007. Russian.
  8. Tesevich LI, Baryash VV. [Plastic compensation of defects and deformities of the maxillofacial area with a free graft of tissues: teaching-methodical. allowance]. Minsk; 2010. Russian.
  9. Handschel J, Hassanyar H, Depprich RA, Ommerborn MA, Sproll KC, Hofer M, et al. Nonvascularized iliac bone grafts for mandibular reconstruction–requirements and limitations. In Vivo. 2011 SepOct;25(5):795-9.
  10. Abdel-Haleem AK, Nouby R, Taghian M. The use of the rib grafts in head and neck reconstruction. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2011;12(2):89-98. https://doi.org/10.1016/j.ejenta.2011.08.004
  11. Trohalin AV. [Rehabilitation of patients with lower jaw defects using allogeneic alloplant grafts and dental implants [dissertation]. Ufa:Bashkir State Medical University;2018. Russian.
  12. Netter F. [Atlas of Human Anatomy]. Bartosh NO, editor. Moscow; 2003. Russian.
  13. Kalakuckiy NV. [Bone graft in gofthe mandible by vascularized autografts [dissertation]. St. Petersburg; 2004. Russian.
  14. Mercuri LG. Costochondral Graft Versus Total Alloplastic Joint for Temporomandibular Joint Reconstruction. Oral Maxillofac Surg Clin North Am. 2018 Aug; 30(3):335-342. https://doi.org/10.1016/j.coms.2018.05.003
  15. Melikov EA. [Justification of the application of the method of distraction osteogenesis in the rehabilitation of patients with defects of the upper and lower jaws [dissertation]. Moscow: A.I. Yevdokimow Moscow State University of Medicine and Dentistry; 2017. Russian.
  16. Habib AMA, Hassan SA. The feasibility of rib grafts in long span mandibular defects reconstruction: a long term follow up. J Craniomaxillofac Surg. 2019 Jan;47(1):15-22. https://doi.org/10.1016/j.jcms.2018.11.002
Published
2020-12-16
How to Cite
Barannik, N. G., Mosieyko, O. O., Manukhina, O. M., Sidoryako, A. V., & Volchykhina, K. P. (2020). Replacement of Mandible Defect by a Rib Autotransplant. Transplantation and Artificial Organs, (1(01), 79-89. https://doi.org/10.30702/transpaorg/06_20.0112/078-088/035
Issue
Transplantation and artificial organs №1(01) 2020
Section
SCIENTIFIC PUBLICATIONS