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Gorokhova E.K.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Babaskina N.V.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Grachev N.S.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Vorozhtsov I.N.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Markov N.M.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Krasnov A.S.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

The use of «growing» endoprostheses in the complex treatment of children with post-resection mandibular defects

Authors:

Gorokhova E.K., Babaskina N.V., Grachev N.S., Vorozhtsov I.N., Markov N.M., Krasnov A.S.

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Journal: Stomatology. 2024;103(4): 10‑19

DOI: 10.17116/stomat202410304110

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Table of contents

THE USE OF «GROWING» ENDOPROSTHESES IN THE COMPLEX TREATMENT OF CHILDREN WITH POST-RESECTION MANDIBULAR DEFECTS
THE USE OF «GROWING» ENDOPROSTHESES IN THE COMPLEX TREATMENT OF CHILDREN WITH POST-RESECTION MANDIBULAR DEFECTS

To cite this article:

Gorokhova EK, Babaskina NV, Grachev NS, Vorozhtsov IN, Markov NM, Krasnov AS. The use of «growing» endoprostheses in the complex treatment of children with post-resection mandibular defects. Stomatology. 2024;103(4):10‑19. (In Russ.)
https://doi.org/10.17116/stomat202410304110

Подписка 2025-2 (Stomatology)
 
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THE AIM OF THE STUDY

To develop and implement a comprehensive algorithm for the rehabilitation of patients after partial resection of the mandible using a titanium «growing» endoprosthesis.

MATERIAL AND METHODS

The study included 16 patients aged 2 to 7 years, with benign (6 cases) and malignant (10 cases) tumors of the mandible. The patients were divided into 2 groups depending on the time of fixation of the endoprosthesis. Group 1 included patients with simultaneous installation of a prosthesis (7 people). Group 2 included patients with delayed installation of an endoprosthesis (9 people). For the reconstruction of the mandible, «growing» titanium endoprostheses made of Ti6Al4V alloy of various designs were used. Removable orthodontic devices of mechanical and functional type of action, standard elastic mouthguards were used in the process of dental treatment

RESULTS

A comprehensive algorithm has been developed for the rehabilitation of children after partial resection of the mandible, depending on the time of fixation of the prosthesis and the volume of surgical intervention.

CONCLUSION

The developed algorithm of complex rehabilitation using a «growing» endoprosthesis and dental support at the pre and postoperative stages allows to reduce the volume of secondary deformation of facial structures and dentition.

Keywords:

endoprosthetics
titanium prostheses
oncopathology
partial resection of the mandible
dental rehabilitation
comprehensive treatment
microsurgery

Authors:

Gorokhova E.K.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Babaskina N.V.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Grachev N.S.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Vorozhtsov I.N.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Markov N.M.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Krasnov A.S.

National Scientific and Practical Center of Pediatric Hematology, Oncology and Immunology named after D. Rogachev

Received:

21.11.2023

Accepted:

05.04.2023

List of references:

  1. Markov NM, Grachev NS, Babaskina NV, Demenchuk PA, Vorozhtsov IN, Dudaeva AA. Dental rehabilitation in the complex treatment of children and adolescents with maxillofacial neoplasms. Stomatology. 2020;99(6-2):44-62. (In Russ.). https://doi.org/10.17116/stomat20209906244
  2. Afanasov MV, Lopatin AV, Jasonov SA, Kosyreva TF. Methods of eliminatingof post-resection defects in children mandible. Russian Journal of Dentistry. 2017;21(1):49-56. (In Russ.).
  3. Zavala A, Ore JF, Broggi A, De Pawlikowski W. Pediatric Mandibular Reconstruction Using the Vascularized Fibula Free Flap: Functional Outcomes in 34 Consecutive Patients. Annals of Plastic Surgery. 2021;87(6):662-668.  https://doi.org/10.1097/SAP.0000000000002963
  4. Liu Sh, Zhang W, Wang Ya, Mao Ch, Yu G-Ya, Peng X. Long-term Outcomes After Pediatric Mandibular Reconstruction Using Vascularized FreeFibula Flap. Plastic and Reconstructive Surgery. 2023;153(2):397-406  https://doi.org/10.1097/PRS.0000000000010529
  5. Gileva KS, Romanova EM, Verbo EV, Ovchinnikov IA, Arutyunov GR, Allakhverdieva EZ. Vascularized bone autografts in children. Plastic Surgery and Aesthetic Medicine. 2022;(3):20-30. (In Russ., In Engl.). https://doi.org/10.17116/plast.hirurgia202203120
  6. Parise GK, Guebur MI, Ramos GHA, et al. Evaluation of complications and flap losses in mandibular reconstruction with microvascularized fibula flap. Oral Maxillofac Surg. 2018;22:281-284.  https://doi.org/10.1007/s10006-018-0701-2
  7. Semyonov MG, Golyana SI, Michalov VV, Afonichev KA, Fillippova OV, Stepanova YV. Lower jaw reconstruction using a vascularized bone graft is the main stage of complex rehabilitation of a child with lower jaw osteoblastoclastoma. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2021;9(4):455-464. (In Russ.). https://doi.org/10.17816/PTORS73184

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