| Release of extra-articular ankylosis by coronoidectomy and insertion of a free abdominal flap: case report. | |
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MedLine Citation:
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PMID: 11465145 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: It is generally agreed that an effective treatment for extra-articular ankylosis may be coronoidectomy and excision of scar tissue. But these conventional procedures have shown a high rate of recurrence of ankylosis due to heterotopic bone and fibrous tissue formation. OBJECTIVE AND PATIENT: We report a case in whom a coronoid osteotomy and insertion of a free abdominal flap was used to treat ankylosis of the mandible following radiotherapy for maxillary cancer. RESULTS: This procedure prevented recurrence of ankylosis by heterotopic bone and fibrous tissue formation. In addition, this flap reduced the risk of postoperative infection and promoted primary healing. CONCLUSION: The procedure, coronoidectomy and insertion of a free flap, was successful because the well-vascularized musculocutaneous flap occupied the dead space, and replaced the shortage of oral mucosa consequently inhibiting the recurrence of extra-articular ankylosis. |
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Authors:
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M Fujioka; T Daian; R Murakami; K Makino |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery Volume: 28 ISSN: 1010-5182 ISO Abbreviation: J Craniomaxillofac Surg Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-07-23 Completed Date: 2001-08-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8704309 Medline TA: J Craniomaxillofac Surg Country: Scotland |
Other Details:
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Languages: eng Pagination: 369-72 Citation Subset: D; IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Miyazaki Social Insurance Hospital, Japan. m-fujioka@mwc.biglobe.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ankylosis / surgery* Carcinoma, Squamous Cell / radiotherapy, surgery Cicatrix / surgery Female Fibrosis Follow-Up Studies Gingival Neoplasms / radiotherapy, surgery Humans Mandible / surgery* Mandibular Diseases / surgery* Masseter Muscle / surgery Maxillary Neoplasms / radiotherapy, surgery Muscular Diseases / surgery Ossification, Heterotopic / prevention & control Osteotomy / methods Radiation Injuries / surgery Rectus Abdominis / transplantation* Recurrence Skin Transplantation Surgical Flaps* Surgical Wound Infection / prevention & control Wound Healing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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