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[PMID]:29267660
[Au] Autor:Ribeiro-Júnior O; Borba AM; Alves CAF; Gouveia MM; Deboni MCZ; Naclério-Homem MDG
[Ad] Endereço:Universidade de São Paulo - USP, School of Dentistry, Department of Oral & Maxillofacial Surgery, Traumatology and Prosthesis, São Paulo, SP, Brazil.
[Ti] Título:Reclassification and treatment of odontogenic keratocysts: A cohort study.
[So] Source:Braz Oral Res;31:e98, 2017 Dec 18.
[Is] ISSN:1807-3107
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The odontogenic keratocyst (OKC) is a recurrent cyst that has been recently reclassified from an odontogenic tumor to an odontogenic cyst. The aim of the present study was to investigate its treatment and address issues related to its association with nevoid basal cell carcinoma syndrome (NBCCS). Lesions from the cohort of patients included in the present study consisted of 40 OKCs, of which 27 lesions were treated by enucleation (GE) and 13 underwent decompression (GD). Complementary treatment occurred in 38 (95%) lesions, of which 10 underwent isolated peripheral ostectomy (GO) and 28 underwent peripheral ostectomy combined with Carnoy's solution (GC). Thirteen lesions were associated with NBCCS (GS), while the others (n=27) were non-syndromic lesions (GnS). The recurrence-free periods (RFP) in the sample groups were compared using the Kaplan-Meier function and log-rank test at a significance level of 5% (p < 0.05) and were used to calculate the cumulative risk of recurrence (CRR) in each postoperative year. During the follow-up period, which had a mean of 43.5 months (range: 12-102 months), six (15%) recurrences were diagnosed. There was no significant difference among the RFP for the compared groups (p > 0.05) or increased CRR for the decompression (15.4%) over five years. Application of Carnoy's solution did not increase the efficacy of the peripheral ostectomy, but was related to a CRR of 0% for the syndromic lesions over five years. Therefore, 1) decompression did not increase the recurrence risk; 2) peripheral ostectomy demonstrated a similar efficacy as the combination with Carnoy's solution; 3) the association of NBCCS did not seem to significantly influence OKC recurrence; and 4) syndromic lesions seem to behave in the same manner as non-syndromic lesions when submitted to complementary treatments.
[Mh] Termos MeSH primário: Síndrome do Nevo Basocelular/classificação
Síndrome do Nevo Basocelular/cirurgia
Cistos Odontogênicos/classificação
Cistos Odontogênicos/cirurgia
[Mh] Termos MeSH secundário: Ácido Acético/uso terapêutico
Adolescente
Adulto
Idoso
Criança
Clorofórmio/uso terapêutico
Descompressão Cirúrgica/métodos
Etanol/uso terapêutico
Feminino
Seres Humanos
Masculino
Doenças Mandibulares
Doenças Maxilares
Meia-Idade
Tumores Odontogênicos/classificação
Tumores Odontogênicos/cirurgia
Osteotomia/métodos
Fotografia
Recidiva
Estudos Retrospectivos
Medição de Risco
Fatores de Risco
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Carnoy's solution); 3K9958V90M (Ethanol); 7V31YC746X (Chloroform); Q40Q9N063P (Acetic Acid)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:29172322
[Au] Autor:Allison JR; Garlington G
[Ti] Título:The Value of Cone Beam Computed Tomography in the Management of Dentigerous Cysts ­ A Review and Case Report.
[So] Source:Dent Update;44(3):182-4, 186-8, 2017 Mar.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Cone Beam Computed Tomography (CBCT) has recently seen an expansion in use, however there are few robust, evidence-based guidelines to inform practitioners. This article reports the case of a large dentigerous cyst in the maxilla affecting the eruption of multiple teeth, considers the use of CBCT in the management of such lesions, and discusses guidelines on the use of CBCT in dentistry. Clinical relevance: As CBCT use increases it is important that practitioners understand the guidelines surrounding its use. Due to the prevalence of dentigerous cysts, it is likely that they will be encountered clinically, and it is important that clinicians referring patients with such lesions are familiar with the principles of managing them.
[Mh] Termos MeSH primário: Tomografia Computadorizada de Feixe Cônico
Cisto Dentígero/diagnóstico por imagem
Cisto Dentígero/cirurgia
Doenças Maxilares/diagnóstico por imagem
Doenças Maxilares/cirurgia
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:28457420
[Au] Autor:Baldan RCF; Coracin FL; Lins L; Mello WR; Santos PS
[Ad] Endereço:Dental Commission, Brazilian Association of Organ Transplantation, São Paulo, Brazil. Electronic address: renato_baldan@yahoo.com.br.
[Ti] Título:Atrophic Maxilla Reconstruction With Fresh Frozen Allograft Bone, Titanium Mesh, and Platelet-Rich Fibrin: Case Report.
[So] Source:Transplant Proc;49(4):893-897, 2017 May.
[Is] ISSN:1873-2623
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this article was to report the clinical and radiographic findings about a case of a man affected by severely atrophic maxilla to demonstrate the clinical proceedings associated with alveolar reconstruction destined for dental implant rehabilitation. The 3-dimensional augmentation of the alveolar ridge with the use of fresh-frozen bone graft, platelet-rich fibrin membrane, and titanium mesh suggests potential benefits to the development of the bone formation physiology. The treatment combination may result in an optimal prognosis and represents an option for reconstruction of bone defects. At 8 months after surgery, no evidence of complications was observed; the clinical examination and computerized tomographic scan revealed bone formation and installed implant stability.
[Mh] Termos MeSH primário: Aumento do Rebordo Alveolar/métodos
Transplante Ósseo/métodos
Implantação Dentária Endo-Óssea/métodos
Maxila/cirurgia
Doenças Maxilares/cirurgia
Fibrina Rica em Plaquetas
[Mh] Termos MeSH secundário: Idoso
Aloenxertos
Processo Alveolar/cirurgia
Atrofia/patologia
Atrofia/cirurgia
Implantes Dentários
Seres Humanos
Masculino
Maxila/patologia
Doenças Maxilares/patologia
Telas Cirúrgicas
Titânio
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dental Implants); D1JT611TNE (Titanium)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180102
[Lr] Data última revisão:
180102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:28579010
[Au] Autor:Wémeau JL; Cardot-Bauters C
[Ad] Endereço:Université de Lille 2, Lille, France. Electronic address: jl-wemeau@hotmail.fr.
[Ti] Título:[Maxillary, buccal and dental expressions of hyperparathyroidisms].
[Ti] Título:Manifestations maxillo-buccodentaires des hyperparathyroïdies..
[So] Source:Presse Med;46(9):845-852, 2017 Sep.
[Is] ISSN:2213-0276
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:States of chronic parathyroid hypersecretion, related to a primitive parathyroid abnormality (adenoma, hyperplasia), or to a cause of chronic calcipenia (renal failure, vitamin D deficiency…) have a major impact on bone remodeling, alveolodental structures. Thinning of the lamina dura, maxillary or mandibular brown tumors, giant cell epulis are the most emblematic signs of the primary hyperparathyroidism. Other expressions are related to genetic factors such as fibrous tumors of the jaw in conjunction with mutations in the gene coding for parafibromin.
[Mh] Termos MeSH primário: Hiperparatireoidismo Primário/diagnóstico
Hiperparatireoidismo Secundário/diagnóstico
Doenças Maxilares/diagnóstico
Doenças da Boca/diagnóstico
Odontopatias/diagnóstico
[Mh] Termos MeSH secundário: Doença Crônica
Diagnóstico Diferencial
Seres Humanos
Hiperparatireoidismo Primário/complicações
Hiperparatireoidismo Primário/etiologia
Hiperparatireoidismo Primário/terapia
Hiperparatireoidismo Secundário/complicações
Hiperparatireoidismo Secundário/etiologia
Hiperparatireoidismo Secundário/terapia
Doenças Maxilares/etiologia
Doenças da Boca/etiologia
Prognóstico
Odontopatias/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE


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[PMID]:28476105
[Au] Autor:Lehur AC; Zielinski M; Pluvy J; Grégoire V; Diamantis S; Bleibtreu A; Rioux C; Picard A; Vallois D
[Ad] Endereço:Infectious and Tropical Diseases Department, University Hospital Bichat-Claude Bernard, APHP, 46 rue Henri Huchard, 75018, Paris, France.
[Ti] Título:Case of disseminated histoplasmosis in a HIV-infected patient revealed by nasal involvement with maxillary osteolysis.
[So] Source:BMC Infect Dis;17(1):328, 2017 May 05.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Disseminated Histoplasmosis (DH) is a rare manifestation of Acquired Immune Deficiency Syndrome (AIDS) in European countries. Naso-maxillar osteolysis due to Histoplasma capsulatum var. capsulatum (Hcc) is unusual in endemic countries and has never been reported in European countries. Differential diagnoses such as malignant tumors, cocaine use, granulomatosis, vasculitis and infections are more frequently observed and could delay and/or bias the final diagnosis. CASE PRESENTATION: We report the case of an immunocompromised patient infected by Human Immunodeficiency Virus (HIV) with naso-maxillar histoplasmosis in a non-endemic country. Our aim is to describe the clinical presentation, the diagnostic and therapeutic issues. A 53-year-old woman, originated from Haiti, was admitted in 2016 for nasal deformation with alteration of general condition evolving for at least 6 months. HIV infection was diagnosed in 2006 and classified at AIDS stage in 2008 due to cytomegalovirus infection associated with pulmonary histoplasmosis. At admission, CD4 cell count was 9/mm . Surgical biopsies were performed and ruled out differential or associated diagnoses. Mycological cultures identified Hcc and Blood Polymerase Chain Reaction (PCR) for Hcc was positive. The patient was given daily Amphothericin B liposomal infusion during 1 month. Hcc PCR became negative in the blood under treatment, and then oral switch by itraconazole was introduced. Antiretroviral treatment was reintroduced after a 3-week histoplasmosis treatment. Normalization of naso-maxillar mucosa enabled a palatal prosthesis. CONCLUSION: Naso-maxillar histoplasmosis is extremely rare; this is the first case ever reported in a non-endemic country. Differential diagnoses must be ruled out by conducting microbiologic tools and histological examinations on surgical biopsies. Early antifungal treatment should be initiated in order to prevent DH severe outcomes.
[Mh] Termos MeSH primário: Infecções Oportunistas Relacionadas com a AIDS/etiologia
Histoplasmose/tratamento farmacológico
Histoplasmose/etiologia
Osteólise/etiologia
[Mh] Termos MeSH secundário: Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico
Infecções Oportunistas Relacionadas com a AIDS/microbiologia
Síndrome de Imunodeficiência Adquirida/tratamento farmacológico
Fármacos Anti-HIV/uso terapêutico
Antifúngicos/uso terapêutico
Contagem de Linfócito CD4
Infecções por Citomegalovirus/diagnóstico
Infecções por Citomegalovirus/etiologia
Diagnóstico Diferencial
Feminino
Infecções por HIV/complicações
Infecções por HIV/tratamento farmacológico
Haiti
Histoplasmose/diagnóstico
Seres Humanos
Hospedeiro Imunocomprometido
Itraconazol/uso terapêutico
Pneumopatias Fúngicas/diagnóstico
Pneumopatias Fúngicas/tratamento farmacológico
Pneumopatias Fúngicas/etiologia
Doenças Maxilares/tratamento farmacológico
Doenças Maxilares/etiologia
Doenças Maxilares/microbiologia
Meia-Idade
Osteólise/microbiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents); 0 (Antifungal Agents); 304NUG5GF4 (Itraconazole)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170507
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2419-4


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[PMID]:28472562
[Au] Autor:Raj A; Ramesh G; Nagarajappa R; Pandey A; Raj A
[Ad] Endereço:Department of Oral and Maxillofacial Pathology, Rama Dental College Hospital and Research Centre, Kanpur-208024, Uttar Pradesh, India.
[Ti] Título:Prevalence of odontogenic lesions among the Kanpur population: an institutional study.
[So] Source:J Exp Ther Oncol;12(1):35-42, 2017 May.
[Is] ISSN:1359-4117
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The frequency and incidence of odontogenic cysts and tumors are controversial and depends in the geographic location. These lesions have great clinical and histopathological diversity, and reflect a need for epidemiological profile to be considered when these lesions are studied. AIM: The purpose of this study was to determine the prevalence of odontogenic cysts and tumors over a period of 10 years and to compare with other data reported around the world. MATERIALS AND METHODS: Data for the study were obtained from the archives of the Department of Oral and Maxillofacial Pathology, diagnosed as the cases of Odontogenic cysts and tumors histopathologically, reported from January 2007 to March 2016. Case records of the patients that fit the histological classification of the World Health Organization (2005) were included in the study and the variables analyzed were: Age, sex, anatomical location, and histological type. RESULTS: In a total of 1319 biopsies reported, 112 were odontogenic in nature. Of these 112 odontogenic lesions reported, Odontogenic Cysts accounted for 54.4% and odontogenic tumors of 45.53%. Of them 61.60% of the patients were males. Common age of occurrence was 21-50 years and mandibular posterior was the most common site of occurrence. Most common odontogenic cyst and tumor reported was dentigerous cyst and ameloblastoma respectively. CONCLUSION: This study provides epidemiological information on odontogenic cyst and tumors at an institutional level. The relative frequency of these cysts and tumors can be analyzed at a global level to understand their prevalence, incidence, biological behaviour, and distribution.
[Mh] Termos MeSH primário: Cistos Odontogênicos/epidemiologia
Tumores Odontogênicos/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Ameloblastoma/epidemiologia
Ameloblastoma/patologia
Criança
Feminino
Seres Humanos
Incidência
Masculino
Doenças Mandibulares/epidemiologia
Doenças Mandibulares/patologia
Doenças Maxilares/epidemiologia
Doenças Maxilares/patologia
Meia-Idade
Odontogênese/fisiologia
Cistos Odontogênicos/patologia
Tumores Odontogênicos/patologia
Prevalência
Estudos Retrospectivos
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE


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[PMID]:28085987
[Au] Autor:Gual-Vaqués P; Jané-Salas E; Marí-Roig A; López-López J
[Ti] Título:Inflammatory Papillary Hyperplasia in a Non-Denture-Wearing Patient: A Case History Report.
[So] Source:Int J Prosthodont;30(1):80-82, 2017 Jan/Feb.
[Is] ISSN:0893-2174
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Inflammatory papillary hyperplasia (IPH) is a benign lesion of the palatal mucosa. It is usually found in denture wearers but has also been reported in dentate patients with no history of wearing maxillary prostheses. This case history report describes an example of the latter and highlights the importance of professional awareness to diagnose IPH among non-denture-wearing patients.
[Mh] Termos MeSH primário: Doenças Maxilares/diagnóstico
Mucosa Bucal/patologia
Palato/patologia
[Mh] Termos MeSH secundário: Biópsia
Diagnóstico Diferencial
Seres Humanos
Hiperplasia/patologia
Masculino
Doenças Maxilares/patologia
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170322
[Lr] Data última revisão:
170322
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170114
[St] Status:MEDLINE
[do] DOI:10.11607/ijp.4955


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[PMID]:27837651
[Au] Autor:Veyssière A; Ambroise B; Traoré H; Chatellier A; Caillot A; Hervé B
[Ad] Endereço:Maxillofacial Surgeon and PhD Student, Department of Maxillofacial and Plastic Surgery, Caen University Hospital, Caen; UNICAEN, EA4652 Equipe BioConnecT, Caen; Medicine Faculty of Caen, University of Caen Basse Normandie, Caen, France. Electronic address: alexis.veyssiere@hotmail.fr.
[Ti] Título:Management of Large Maxillomandibular Osteofibrous Dysplasia as Part of a Humanitarian Mission.
[So] Source:J Oral Maxillofac Surg;75(2):436.e1-436.e10, 2017 Feb.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Maxillomandibular ossifying fibroma is a benign tumor that affects young adults. Complete excision can allow satisfactory management with no recurrence. During a humanitarian mission, one is confronted with many types of damage from these fibromas. Their management requires wide resection (mandibulectomy interrupter or maxillectomy) and free flap reconstruction. However, technical conditions during a humanitarian mission might not allow the performance of a free flap reconstruction. How can such patients be managed? Should these patients receive a straightforward intervention performed on site during the mission or should they go to another country with a technical platform suitable for microsurgical reconstruction? PATIENTS AND METHODS: During a humanitarian mission in Ouagadougou, Burkina Faso, 6 patients with large ossifying fibromas traveled to France to undergo wide excision of the lesion and free flap reconstruction using the fibula. The Enfants du Noma paid for the travel and medical costs. RESULTS: No flap was lost. Four patients (67%) had local (disunity of scar or local infection) or general (malaria) complications that quickly resolved. CONCLUSIONS: Most teams agree that free flaps should not be performed during humanitarian missions, and only 1 German team practices in Sokoto, Nigeria. Therefore, medical travel is an attractive solution that allows optimal management and requires financial assistance from humanitarian organizations.
[Mh] Termos MeSH primário: Doenças do Desenvolvimento Ósseo/cirurgia
Doenças Maxilomandibulares/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Doenças do Desenvolvimento Ósseo/diagnóstico por imagem
Doenças do Desenvolvimento Ósseo/patologia
Burkina Faso
Criança
Seres Humanos
Doenças Maxilomandibulares/diagnóstico por imagem
Doenças Maxilomandibulares/patologia
Masculino
Doenças Mandibulares/diagnóstico por imagem
Doenças Mandibulares/patologia
Doenças Mandibulares/cirurgia
Reconstrução Mandibular/métodos
Doenças Maxilares/diagnóstico por imagem
Doenças Maxilares/patologia
Doenças Maxilares/cirurgia
Missões Médicas Oficiais
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:161113
[St] Status:MEDLINE


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[PMID]:27791424
[Au] Autor:Stephenson KA; Klopper GJ; Opperman J; Favara C
[Ad] Endereço:Ear, Nose and Throat Department, Great Ormond Street Hospital for Children , London , UK.
[Ti] Título:Giant maxillary gingival fibromatosis.
[So] Source:Ann R Coll Surg Engl;99(2):e69-e71, 2017 Feb.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:We present a case of both unusual pathology and severity - giant maxillary gingival fibromatosis - and discuss the disease and its management, accompanied by clinical imaging. This represents an overlap between maxillofacial and oral surgery, and may present as demonstrated in this case.
[Mh] Termos MeSH primário: Fibromatose Gengival
Doenças Maxilares
[Mh] Termos MeSH secundário: Adulto
Feminino
Fibromatose Gengival/patologia
Fibromatose Gengival/cirurgia
Seres Humanos
Doenças Maxilares/patologia
Doenças Maxilares/cirurgia
Procedimentos Cirúrgicos Bucais
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161030
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2016.0333


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[PMID]:27730644
[Au] Autor:Modest MC; Moore EJ; Abel KM; Janus JR; Sims JR; Price DL; Olsen KD
[Ad] Endereço:Department of Otorhinolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
[Ti] Título:Scapular flap for maxillectomy defect reconstruction and preliminary results using three-dimensional modeling.
[So] Source:Laryngoscope;127(1):E8-E14, 2017 Jan.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES/HYPOTHESIS: Discuss current techniques utilizing the scapular tip and subscapular system for free tissue reconstruction of maxillary defects and highlight the impact of medical modeling on these techniques with a case series. STUDY DESIGN: Case review series at an academic hospital of patients undergoing maxillectomy + thoracodorsal scapula composite free flap (TSCF) reconstruction. Three-dimensional (3D) models were used in the last five cases. METHODS: 3D modeling, surgical, functional, and aesthetic outcomes were reviewed. RESULTS: Nine patients underwent TSCF reconstruction for maxillectomy defects (median age = 43 years; range, 19-66 years). Five patients (55%) had a total maxillectomy (TM) ± orbital exenteration, whereas four patients (44%) underwent subtotal palatal maxillectomy. For TM, the contralateral scapula tip was positioned with its natural concavity recreating facial contour. The laterally based vascular pedicle was ideally positioned for facial vessel anastomosis. For subtotal-palatal defect, an ipsilateral flap was harvested, but inset with the convex surface facing superiorly. Once 3D models were available from our anatomic modeling lab, they were used for intraoperative planning of the last five patients. Use of the model intraoperatively improved efficiency and allowed for better contouring/plating of the TSCF. At last follow-up, all patients had good functional outcomes. Aesthetic outcomes were more successful in patients where 3D-modeling was used (100% vs. 50%). There were no flap failures. Median follow-up >1 month was 5.2 months (range, 1-32.7 months). CONCLUSIONS: Reconstruction of maxillectomy defects is complex. Successful aesthetic and functional outcomes are critical to patient satisfaction. The TSCF is a versatile flap. Based on defect type, choosing laterality is crucial for proper vessel orientation and outcomes. The use of internally produced 3D models has helped refine intraoperative contouring and flap inset, leading to more successful outcomes. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:E8-E14, 2017.
[Mh] Termos MeSH primário: Retalhos de Tecido Biológico
Doenças Maxilares/cirurgia
Modelos Anatômicos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Escápula/transplante
[Mh] Termos MeSH secundário: Adulto
Idoso
Estética
Feminino
Seres Humanos
Masculino
Doenças Maxilares/diagnóstico por imagem
Neoplasias Maxilares/diagnóstico por imagem
Neoplasias Maxilares/cirurgia
Meia-Idade
Estudos Retrospectivos
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26351



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