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Three-stage mandible reconstruction after firearm injury
Samuel Porfírio Xavier1, Cássio de Barros Pontes, Erick Ricardo Silva
1Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, São Paulo, Brazil. spx@forp.usp.br
Abstract:
Firearm injuries in the lower jaw may cause significant loss of hard and soft facial tissues, resulting in aesthetic and functional deformity. In this article, we present a case of a patient who suffered avulsion of the soft and hard tissues of the left mandible body and symphysis. After the emergency treatment, the patient was referred to our service, and the treatment was performed in 3 stages: surgical reconstruction with vascularized fibula flap, distraction osteogenesis, and dental implant rehabilitation. During 5 years of follow-up period, the aesthetic and functional condition of the patient improved considerably.
