Spontaneous mandibular regeneration: another option for mandibular reconstruction in children?

The British Journal of Oral & Maxillofacial Surgery
Praveen SharmaAndrew Monaghan

Abstract

Treatment for conditions of the mandible may require resection of the affected segment, and this may need reconstruction. There are case reports of spontaneous regeneration of segments of excised mandibles that resulted in reduced or no need for reconstruction, and we present four such cases. The age at presentation ranged from 6 to 12 years. In all cases the periosteum was preserved during resection. All patients showed evidence of spontaneous regeneration, both clinically and radiographically, between 3 and 5 months after resection. The planned delayed reconstruction meant that these patients either did not need any bony reconstruction, or needed less than had originally been anticipated. Such regeneration is mostly reported in children, and is thought to be the result of an intact periosteal layer. In patients having planned mandibular resections, where the periosteum is preserved, some spontaneous regeneration should be anticipated and final reconstruction delayed until this is complete.

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Citations

Mar 13, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Eyituoyo OkoturoGodwin T Arotiba
Apr 11, 2015·Journal of Maxillofacial and Oral Surgery·Omaid Ahmad, Galal Omami
May 4, 2016·International Journal of Oral and Maxillofacial Surgery·C E AnyanechiG O Bassey
Jun 24, 2017·Journal of Stomatology, Oral and Maxillofacial Surgery·F FauvelB Piot
Feb 19, 2016·Craniomaxillofacial Trauma & Reconstruction·John Marshall GreenGerald Thomas Grant
May 10, 2017·Case Reports in Dentistry·Deepika PaiPrem Sasikumar
Apr 19, 2019·Journal of Maxillofacial and Oral Surgery·Sachin RaiMohammad Muneeb Mubashir
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Farooq Shahzad
Jun 10, 2021·International Journal of Oral and Maxillofacial Surgery·S YounasS Mubeen
Jul 1, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Fien MertensJan Jeroen Vranckx

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