Research Of Resection Of Mandibular Ameloblastoma And Homochronous With Autogenous Bone Graft

Objectives:Discussion of ameloblastoma of the mand ible exc ision surgery methods of Autogenous bone graft in mand ibular reconstruction surgical treatment and postoperative study. Methods:Admitted to our hospital from September 2013 to December 2015 ameloblastoma autogenous bone graft in patients with mandibular surgery cases in the same period a total of 11 cases, position of ameloblastoma patients les ions right in 8, 3 on the left side.Ameloblastoma surgery estuary in 9 cases, in 2 cases.Repair of mandibular reconstruction surgery using autogenous iliac bone grafting in 3, 8 cases of Autogenous fibula transp lantation, this article according to the s ize of mand ible defect intercept corresponding auto logous bone blocks direct reconstruction titanium plate in 6 cases, preserving part of the inferior alveo lar nerve in 5 cases.Results:11 cases of ameloblastoma with resection of Autogenous bone and mand ible reconstruction cases, non-vascularized iliac bone graft infection in 1 case, infection of vascularized free fibula flap in 1 case.Intraoral resection in patients with mild symptoms of numbness of lower lip 1 cases, excision ofmouth with fac ial scars convex 4 cases. 2 cases of bone graft healing infection after topical administration nurs ing, rest of the facial morphology in patients with good recovery, occlusion and normal.Realize the function of the patients with mand ibular surgery to repair.Current 1-1.5 years of follow-up after surgery, not patients with recurrence of ameloblastoma with legs walking function there is no obstacle, but needs to 1-2 years of follow-up observations.Conclusion:In General, to complete the medical princip le, in patients with lesions in the corner and ascending, when the depth and breadth of use outside of invas ion approaches.In the corner and ascending branch of breadth, depth of invas ion and the smaller cases, and appearance requirements is not high priority in patients with selected extraoral approach;Features high in protection equipment technology and operations within the selected option is more thorough approach.Non-vascularized iliac bone graft is easy, short time of operation, for minor damage and complications are relatively small and so on.In single small jaw damage is applied.Free fibula flap the biggest advantage is the ab ility to capture good bone length, convenient shape, can be applied to a larger area of jaw damage.Earlier imp lants, will promote restoration of oral function after mandibular reconstruction, better fixed partial denture, restore the language function and chewing function and looks beautiful, full restoration of oral function, reach satisfactory reconstruction, has the advantage of short course, economic pressures in patients with small, worthy of promotion.