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

Mingming Lv; Jun Li; Yi Shen; Liang Wang; Jian Sun

doi:10.1016/j.joms.2016.12.031

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. doi: 10.1016/j.joms.2016.12.031. Epub 2016 Dec 29.

Authors

Mingming Lv¹, Jun Li², Yi Shen³, Liang Wang¹, Jian Sun⁴

Affiliations

¹ Resident, Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
² Associate Professor, Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
³ Attending Surgeon, Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
⁴ Professor, Department of Oral Maxillofacial-Head Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. Electronic address: jianjian60@yahoo.com.

PMID: 28111211
DOI: 10.1016/j.joms.2016.12.031

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.

MeSH terms

Adult
Child
Esthetics
Female
Fibroma, Ossifying / surgery*
Follow-Up Studies
Humans
Imaging, Three-Dimensional
Male
Maxillary Neoplasms / surgery*
Middle Aged
Patient Care Planning
Patient Satisfaction
Plastic Surgery Procedures / methods*
Postoperative Complications / etiology*
Surgical Mesh*
Titanium*
Tomography, X-Ray Computed
User-Computer Interface
Young Adult

Substances

Titanium