title: The managements of orofacial tumors of children in Iraq.
abstract: These studies were carried out in the maxillofacial unit, surgical specialties hospital, medical city, Baghdad, included 55 patients with orofacial tumors; their ages ranged from 2 days to 14 years (mean, 7 years). Twenty-eight of them were girls, and 27 were boys. Tumors included 20 cases of benign tumors and 35 cases malignant. Treatment modalities ranged from complete surgical excision, surgical shaving operations, and deep x-ray therapy (DXT; radiotherapy) for some benign tumors. The management of malignant tumors was carried out by the use of chemotherapy, chemotherapy and DXT to radical surgery, or radical surgery with DXT. Reconstruction of the mandible was carried out using a rib graft or a block of a corticocancellous bone graft from the iliac crest with reimplantation of the condyle after resection from the tumor and fixed by rigid fixation to the bone graft. Temporary reconstruction of the mandible done by Kirschner wire for malignant tumors required a postsurgical DXT. A temporalis muscle flap was used for the augmentation of the orbit with a frontoorbital flap after radical excision of a malignant tumor of the orbit, and a silastic implant (silicon rubber) was used for reconstruction of the orbital floor. A long-term follow-up ranged from 2 to 15 years. The aim of this study was to present a certain number of cases with an interesting pathologic tumor condition showing peculiar behaviors; the management of these cases was a challenge to our surgical experience.
authors.affiliation: Iraqi Board for Medical Specializations, Baghdad, Iraq. dr_raja_kummoona@yahoo.com
authors.forename: Raja
authors.initials: R
authors.lastname: Kummoona
mesh_terms: D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016025:Bone Transplantation; D017024:Chemotherapy, Adjuvant; D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007493:Iraq; D008137:Longitudinal Studies; D008223:Lymphoma / Q000601:surgery; D008297:Male; D008335:Mandibular Condyle / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery*; D020360:Neoadjuvant Therapy; D019736:Prostheses and Implants; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods; D012888:Skull Neoplasms / Q000601:surgery; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000637:transplantation