Bone resection, extra-corporal cryotherapy and immediate re-implantation in the treatment of mandibular tumours.
Two aspects have to be considered in the treatment of mandibular tumours: The eradication of the disease, and the maintenance of mandibular continuity to obtain a good functional and aesthetic result. The authors experimented with a cryo-surgical method which consists of mandibular hemiresection, extra corporal immersion of the specimen in liquid nitrogen at - 180 degrees C, followed by re-implantation of the mandibular body in its bed. In this way we achieved the eradication of the tumour and produced an auto-transplant for immediate bone grafting. The clinical and radiological progress of four patients with various mandibular tumours, followed-up for three years, is presented.
D000293:Adolescent; D001861:Bone Regeneration; D001862:Bone Resorption / Q000209:etiology; D003452:Cryosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000502:physiology / Q000601:surgery / Q000637:transplantation*; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D014021:Tissue Preservation; D014182:Transplantation, Autologous; D014945:Wound Healing