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2009, Number 2

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Rev Mex Cir Pediatr 2009; 16 (2)

Reconstruction with Titanium Prosthesis and deltopectoral skin flap, after mandible's alveolar Rhabdomyosarcoma Resection Case report

Rivera-Malpica F, Quintero-Curiel JL, Rojas-Curiel EZ, Zaldivar-Cervera J, Hernandez-Aguilar G
Full text How to cite this article

Language: Spanish
References: 6
Page: 91-95
PDF size: 327.79 Kb.


Key words:

Mandible’s rhabdomyosarcoma, Titanium prosthesis, Deltopectoral flap.

ABSTRACT

Introduction: The reconstruction techniques for the mandible’s resection have been described in adult patients. We present a technique that can be used in pediatric patients who underwent resection of the mandible.
Case Report: Seven year old male, with an alveolar rhabdomyosarcoma on the left side of the mandible. The surgical technique consisted in total resection of the tumor, after lesion free border was ensure, titanium prosthesis was placed and then covered with a deltopectoral skin flap.
Discussion: Despite of the diagnoses, mandible’s reconstruction in adult and pediatric patients requires the use of a structure that provides adequate movement with good support and stability without rejection. We achieve these characteristics with the use of titanium prosthesis, and a deltopectoral skin flap that avoids using microsurgery procedures that have major risks of complications.


REFERENCES

  1. Navarro Vila C, Zarate Salazar J, Molini Dezotti D, Martínez Alegría J, Izaguirre Espinoso H, Suñer Machado M, et al, Reconstruction experience with myocutaneous skin flaps in Oncological surgery of the head and neck. J Maxillofac Surg 1984; 12:107-13.

  2. Cuesta Gil M. Reconstrucción mandibular con el colgajo osteomiocutaneo trapecial. Estudio de 42 casos. Rev Esp Cirug Oral Maxilof 1995;17:63-81.

  3. Hidalgo D. Fibula free flan: a new method of mandible reconstruction. Plast Reconstruct Surg 1989;8471807.

  4. Wei FC, Chen HC, Chuang CC, Noordhoff MS, Fibular osteoseptocutaneous flap: Anatomic study and clinical application. Plast. Reconstr Surg 1986:78:191-9.

  5. Genden E, Buchbinder D, Chaplin JM, Lueg E, Funk GF, Urken ML. Reconstruction of the pediatric maxillae and mandible. Arch Otolaryngol Head Neck Surg 2000;126:293-300.

  6. C.Navarro-Vila,S. Ochandiano, F.J. Lopez de Atalaya, M.Cuesta, J.M. Barrios, J.I. Salmeron y J.J. Verdaguer. Reconstrucción Mandibular: colgajos pediculados y microquirurgicos. Cir Esp 2002;72(5):287-96




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Rev Mex Cir Pediatr. 2009;16