The "Drawer-Like" Resection and Reconstruction With Titanium Mesh: A Novel Surgical Technique for Treatment of Giant Ossifying Fibroma in the Maxilla.

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The "Drawer-Like" Resection and Reconstruction With Titanium Mesh: A Novel Surgical Technique for Treatment of Giant Ossifying Fibroma in the Maxilla.

J Oral Maxillofac Surg. 2017 Aug;75(8):1752-1761

Authors: Lv M, Li J, Shen Y, Wang L, Sun J

Abstract
PURPOSE: The aim of this article is to introduce a new surgical method for the treatment of ossifying fibroma (OF) in the maxilla with dislocation of the eyeball and to evaluate the postoperative outcomes and prognosis.
PATIENTS AND METHODS: Cases of maxillary OF treated with "drawer-like" resection from 2014 to 2015 were reviewed. The surgical procedure consisted of total removal of the orbital floor and most of the maxilla with preservation of the alveolar ridge immediately followed by reconstruction with titanium mesh. Postoperative appearance and function were assessed. In addition, the recurrence rate was statistically observed.
RESULTS: The study included 6 patients with maxillary OF who were treated with drawer-like resection. Good esthetics and decrease of the globe were successfully achieved in all patients. Long-term follow-up showed a low recurrence rate. The original occlusal relation and masticatory function were preserved.
CONCLUSIONS: With this new method, the original occlusal relation can be well preserved and bulging of the maxilla and eyeball displacement can be corrected.

PMID: 28111211 [PubMed - indexed for MEDLINE]

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