Bone Grafts Research - Spine Fusion, Surgery, Procedure, Risks

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Fibrous dysplasia of the mandible: Surgical treatment with platelet-rich plasma and a corticocancellous iliac crest graft-report of a case.

Mendonça Caridad JJ, Platas F

Head and Neck Surgery Unit, Hospital POLUSA, Lugo, Spain. joaquin@cirujanosdelmundo.com

This paper reports on an alternative treatment method for mandibular reconstruction in a very rare symptomatic adult form of fibrous dysplasia. The treatment included excision of all the dysplastic tissue excluding the inner cortex and the lower border of the mandible, where cryosurgery was applied. Platelet-rich plasma was added to the autogenous bone and used to fill dead spaces and interfaces. Three months after reconstruction, implants were inserted in the hard dense bone that showed no resorption. Seven years after surgery, the patient was completely asymptomatic and had an excellent cosmetic outcome. A very simple method, based on a new paradigm approach, provided excellent functional and cosmetic results avoiding complex reconstruction procedures and delayed hospitalization in a patient with fibrous dysplasia.

Published 10 March 2008 in Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 105(4): e12-8.
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Bone Grafts Research Today Archive:

Volume 1 (2004)
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Clinical and Diagnostic Pathology of Graft-versus-Host Disease

Clinical and Diagnostic Pathology of Graft-versus-Host Disease