title: Artificial dermis graft on the mandible lacking periosteum after excision of an ossifying fibroma: a case report.
abstract: Collagen-based grafts have often been used as artificial tissue substitutes for the repair of tissue and organ defects. It is common surgical knowledge that autogenous or artificial skin grafts take well on the intact periosteum of bone. However, many experienced surgeons indicate that autogenous or artificial skin grafts subsist poorly on the bone surface without periosteum. Therefore, primary closure is usually recommended in the wound healing of exposed bone. Vestibuloplasty might be needed to create enough depth of vestibule in the future. In this case report, we describe a peripheral ossifying fibroma surgically excised leaving a bony defect, which was covered by a piece of artificial dermis. Satisfactory result of the repaired surgical defect showed no need of vestibuloplasty after 6 years of follow-up.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Chun-Ming
authors.initials: CM
authors.lastname: Chen
authors.forename: Yee-Shyong
authors.initials: YS
authors.lastname: Shen
authors.forename: Chia-Fu
authors.initials: CF
authors.lastname: Yang
authors.forename: Tien-Yu
authors.initials: TY
authors.lastname: Shieh
authors.forename: Chung-Ho
authors.initials: CH
authors.lastname: Chen
authors.forename: I-Yueh
authors.initials: IY
authors.lastname: Huang
mesh_terms: D000328:Adult; D020405:Dermis / Q000637:transplantation*; D018214:Fibroma, Ossifying / Q000601:surgery*; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery*; D010521:Periosteum / Q000601:surgery*; D017768:Skin, Artificial