title: Lower jaw reconstruction and dental rehabilitation after war injuries: The experience of Paul Tessier in Iran in the late 1980s.
abstract: Iraq-Iran war resulted in more than 400,000 people requiring prolonged medical care in Iran. An international team of prominent reconstructive surgeons led by Paul Tessier, the founder of craniofacial surgery, was invited to Iran during the war by official organizations entitled to support war victims. This team provided up-to-date oral and maxillofacial rehabilitation to patients with severe trauma defects in the lower third of the face. We collected the medical notes of 43 patients operated on by the Tessier team in Iran in the 1980s (files property of AFCF). The parameters we collected were: age of the patient, nature of the trauma (when available), previous procedures, number of implants placed (mandibular and maxillary), associated procedures (bone grafts, soft-tissue procedures, orthognathic surgery). A protocol based on soft-tissue rehabilitation using local flaps, parietal or iliac bone grafts and implant placement 6 months later was used in all patients. Paul Tessier's approach emphasizes the importance of keeping high standards of care in difficult situations and maintaining standard protocols.
authors.affiliation: AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale, Paris, F-75013, France; UPMC Univ Paris 06, F-75005, Paris, France. Electronic address: fsimon05@gmail.com.
authors.forename: François
authors.initials: F
authors.lastname: Simon
authors.affiliation: AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale, Paris, F-75013, France; UPMC Univ Paris 06, F-75005, Paris, France.
authors.forename: Serge
authors.initials: S
authors.lastname: Ketoff
authors.affiliation: Hôpital Charles-Nicolle, Service de chirurgie maxillo-faciale, Rouen, F-76038, France; Université de Rouen, Rouen, France.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Guichard
authors.affiliation: Plastic and Reconstructive Surgery, Miami Children's Hospital, 3100 SW 62 Avenue, ACB #2230, Miami, FL, USA.
authors.forename: S Anthony
authors.initials: SA
authors.lastname: Wolfe
authors.affiliation: Private Practice, 26 Avenue Kléber, 75116, Paris, France.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Tulasne
authors.affiliation: AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale, Paris, F-75013, France; UPMC Univ Paris 06, F-75005, Paris, France.
authors.forename: Chloé
authors.initials: C
authors.lastname: Bertolus
authors.affiliation: AP-HP, Hôpital Pitié-Salpêtrière, Service de chirurgie maxillo-faciale, Paris, F-75013, France; UPMC Univ Paris 06, F-75005, Paris, France.
authors.forename: Roman Hossein
authors.initials: RH
authors.lastname: Khonsari
mesh_terms: D016025:Bone Transplantation / Q000266:history; D003758:Dental Implantation, Endosseous / Q000266:history*; D049673:History, 20th Century; D006801:Humans; D007492:Iran; D007493:Iraq; D063175:Mandibular Reconstruction / Q000266:history*; D019651:Plastic Surgery Procedures / Q000266:history*; D013524:Surgical Flaps / Q000266:history; D000067398:War-Related Injuries / Q000266:history*
keywords: Dental implant; Iran; Paul; Reconstruction; Tessier; War injury