Exfoliation and Simultaneous Formation of Condylar Process Following Chronic Osteomyelitis of the Mandible

Pourdanesh, Fereydoun; Mohamadi, Mansoureh; Khojasteh, Arash; Mashhadiabbas, Fatemeh; Yaghmaei, Minoo

doi:10.1097/scs.0b013e31825433f1

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…Bone sequestration as a manifestation of ramus osteomyelitis was successfully managed by sequestrectomy through RTA in 2 patients included in this study. In 1 patient, an exfoliation of the condylar process due to actinomycotic osteomyelitis occurred, similar to the case report published by Pourdanesh et al, where it was managed via the subangular and transoral approaches and the simultaneous spontaneous condylar formation arisen 23 . In the patient presented in this study, the function of the temporomandibular joint on the right side was replaced by the coronoid process hypertrophy without motion impairment.…”

Section: Discussionsupporting

confidence: 85%

Retromandibular Transparotid Approach for the Treatment of Benign Nontraumatic Conditions of the Mandible. A Retrospective Consecutive Case-Series Study

Hauer¹,

Genčur²,

Pošta³

et al. 2021

Journal of Craniofacial Surgery

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The retromandibular transparotid approach enables the most direct access to the central and posterior part of the mandibular ramus including the condylar region. So far it has not been widely used for the management of benign pathology of the mandible. The purpose of this study was to evaluate the utilization rate of this approach in the nontrauma setting including the determination of suitable indications for this access. In total, 105 patients with 107 retromandibular transparotid approaches performed in the 6.5 years (from May 2014 to November 2020) were evaluated. Patients suffering from nontrauma pathology accounted for 4.7% of all cases. The recurrences of different types of odontogenic cysts and secondary chronic osteomyelitis were surgically managed via this approach with aesthetically acceptable resultant scar achievement and no identified postoperative complications. All lesions resolved and no recurrences occurred during the follow-up 32.0 AE 20.7 months (range 6 to 59 months, median ¼ 26 months). The retromandibular transparotid approach may be considered for the enucleation of benign bone lesions in selected patients. Another type of surgery for the management of benign nontraumatic conditions in an accessible area without requirements for continuity resection and jaw reconstruction may be also suitable for using this approach.

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Section: Discussionsupporting

confidence: 85%

Retromandibular Transparotid Approach for the Treatment of Benign Nontraumatic Conditions of the Mandible. A Retrospective Consecutive Case-Series Study

Hauer¹,

Genčur²,

Pošta³

et al. 2021

Journal of Craniofacial Surgery

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“…Since no bone material or autogenous bone particles were used, the gap has been filled spontaneously. The spontaneous bone formation has been reported in the literature with an unknown exact mechanism (11).…”

Section: Discussionmentioning

confidence: 99%

Clavicle Survival as a Free Bone Graft: A Case Report of Minor Modification Added to Pectoralis Major Flap

2021

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Introduction: Reconstruction of the surgically created defects in the head and neck regions is a crucial step in the patients’ treatment plan. Regarding the involved tissues, various flaps and grafts have been introduced in the literature. The pectoralis major myocutaneous flap (PMMF) is one of the most versatile flaps with many variations for providing more advantages. Also, when bone tissue is needed, it can be reconstructed via an osteomyocutaneous flap including rib, sternum, or clavicle. Case Presentation: In this article, a case of oral squamous cell carcinoma with the extension to facial structures and, then, reconstructed with PMMF was presented, in which a medial half of clavicle bone was resected and employed as a free bone graft. Conclusions: Sectioning clavicle not only increases the arc of rotation and mobility of the PMMF but also provides a new source of bone graft in the vicinity. Besides, the survival of the graft and integration with the native bone is noteworthy.

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“…8), which demonstrates the similarities and extent of a wholly necrotic mandible. Further literature review of rare and extensive jaw necrosis cases has revealed spontaneous sequestration of the condylar process following chronic osteomyelitis 21 and another case of spontaneous wide bone sequestration of the left half mandible following 18 zolendronic acid infusions. 22 In more recent times, Kullar et al reported 60 cases of extreme osteonecrosis and osteomyelitis of the mandible and maxilla in a West African population 23 .…”

Section: Discussionmentioning

confidence: 99%

Severe osteonecrosis of the jaw with attempted near total mandibular exfoliation

et al. 2018

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This report describes an unusual and extreme case of osteonecrosis of the jaw (ONJ) affecting the entire mandible, which was attempting to self exfoliate. A 76‐year old male presented clinically with all aspects of the mandible, except the condylar heads, necrotic and exposed in the oral cavity. The mandible had elevated out of the mucosa and was attempting to exfoliate through the mouth. As it was obstructing his oral cavity, the necrotic mandible was sectioned posteriorly allowing the patient to speak and eat comfortably, as well regain an oral seal. The use of intravenous bisphosphonates for metastatic prostate cancer coupled glucocorticosteroids, diabetes mellitus and hyperlipidaemia are likely to have contributed this extensive medication related ONJ. This complication is well‐recognised in association with bisphosphonates, however, this case is unique due to its severity, its spontaneous occurrence and the oral cavity's natural response to manage it, through near complete self exfoliation.

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Exfoliation and Simultaneous Formation of Condylar Process Following Chronic Osteomyelitis of the Mandible

Cited by 4 publications

References 23 publications

Retromandibular Transparotid Approach for the Treatment of Benign Nontraumatic Conditions of the Mandible. A Retrospective Consecutive Case-Series Study

Retromandibular Transparotid Approach for the Treatment of Benign Nontraumatic Conditions of the Mandible. A Retrospective Consecutive Case-Series Study

Clavicle Survival as a Free Bone Graft: A Case Report of Minor Modification Added to Pectoralis Major Flap

Severe osteonecrosis of the jaw with attempted near total mandibular exfoliation

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