Three-stage mandible reconstruction after firearm injury.
Firearm injuries in the lower jaw may cause significant loss of hard and soft facial tissues, resulting in aesthetic and functional deformity. In this article, we present a case of a patient who suffered avulsion of the soft and hard tissues of the left mandible body and symphysis. After the emergency treatment, the patient was referred to our service, and the treatment was performed in 3 stages: surgical reconstruction with vascularized fibula flap, distraction osteogenesis, and dental implant rehabilitation. During 5 years of follow-up period, the aesthetic and functional condition of the patient improved considerably.
Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, São Paulo, Brazil. spx@forp.usp.br
Samuel Porfírio
SP
Xavier
Cássio de Barros
Cde B
Pontes
Erick Ricardo
ER
Silva
Thiago de Santana
Tde S
Santos
Salomão Chade
SC
Zatiti
Francisco Veríssimo
FV
de Mello Filho
D000328:Adult; D003646:Debridement; D005260:Female; D005360:Fibula / Q000637:transplantation; D006801:Humans; D008338:Mandibular Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D063175:Mandibular Reconstruction / Q000379:methods*; D011862:Radiography, Panoramic; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*