The recycling of autoclaved autografts in mandibular reconstruction: case report and review of literature.

Removal of pathological lesions from the mandible can leave a disfiguring appearance in addition to compromising the function of speech and mastication. It therefore becomes imperative to replace the lost part with bone grafts. Autogenous bone grafts-vascularised and non-vascularised, have been in vogue for the same. The probability of using the same resected bone after removal of all pathology has been done for a long time with mixed results in terms of uptake and viability. This paper presents a case of the use of autoclaved resected bone being used for reconstructing the mandible.

Ludwig's Angina in Post Partum Patient.

Ludwig's Angina is a rapid progressive cellulitis of the submandibular spaces, with potential for significant upper airway obstruction. Most reported cases follow an odontogenic infection. We present a case of 22-year-old female patient in her 2 weeks post partum period developing a life threatening infection. Immediate intubation, surgical decompression and antibiotic therapy successfully resolved the episode.

Craniofacial fibrous dysplasia: Surgery and literature review.

OBJECTIVE: To highlight the clinical and radiologic features and management of craniofacial fibrous dysplasia with review of literature. MATERIALS AND METHODS: A retrospective review of 6 patients who underwent surgical treatment in a tertiary healthcare centre was done using the parameters of patients' details, clinical features, radiological findings, management and postoperative review. RESULTS: Of the six patients, 3 females and 2 males were in the 2(nd) decade of life and 1 male in the 1(st) decade of life. The disease was restricted to maxilla in 3 patients, involved the temporal and frontal bones in addition to maxilla in one, involved the frontal bone in one patient and involved frontal and parietal bones in one patient. The primary reason for seeking treatment in all the 6 cases was facial deformity. There was absence of pain in all 6 cases. For surgical treatment in all three cases involving the maxilla, the approach was intraoral while bicoronal approach was used for the other three cases. Treatment consisted of surgical contouring and reshaping the area. All cases were followed up over a period of 2 years with no signs of recurrence. CONCLUSION: Treatment of craniofacial fibro-osseous lesions is highly individualized. Most cases of craniofacial fibrous dysplasia manifest as swellings that cause facial deformity and surgical recontouring after cessation of growth seems to provide the best results.

Giant recurrent aneurysmal bone cyst of the mandible.

The Aneurysmal bone cyst (ABC) is an infrequent but well defined lesion occurring most commonly in the long bones, the pelvis and vertebrae. Only 1-2% of the lesions are known to occur in the maxillofacial region. Clinically, the lesion usually occurs in young adults below 20 years of age. Though there does not seem to be any marked gender predilection and slight preponderance towards females has been reported. Here we present a case of giant recurrent aneurysmal bone cyst in a 19 year old male patient treated by segmental resection and reconstruction with vascularized fibular graft.

Juvenile trabecular ossifying fibroma of the mandible.

Juvenile Ossifying Fibroma (JOF) is a rare fibro-osseus neoplasm in young children. This lesion is locally aggressive and spreads quickly. It is usually asymptomatic, achieving a large size. Owing to its aggressive behavior and high recurrence rate, early detection and complete surgical excision are essential. This report details the diagnosis and treatment of a 3-year-old girl presenting with a mandibular swelling that was subsequently determined to be juvenile ossifying fibroma.