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Healing of a large avulsed mandibular bony segment: report of a unique case
Institution:1. Service de Chirurgie Maxillo-faciale et Chirurgie Plastique, Hôpital Necker – Enfants Malades, Assistance Publique – Hôpitaux de Paris, Université de Paris, Paris, France;2. Service de Chirurgie Maxillo-faciale et Stomatologie, Hôpital Pitié-Salpêtrière, Assistance Publique – Hôpitaux de Paris, Sorbonne Université, Paris, France;3. Service d’Anatomopathologie, Hôpital Cochin – Port-Royal, Assistance Publique – Hôpitaux de Paris, Université de Paris, Paris, France;4. Service d’Anatomopathologie, Hôpital Necker – Enfants Malades, Assistance Publique – Hôpitaux de Paris, Université de Paris, Paris, France;5. Service d’Anatomopathologie, Hôpital La Timone, APHM, Marseille, France;1. Maxillofacial Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;2. Neurosurgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;3. Simulation Centre, General Surgery Department, Academic Hospital of Udine, Department of Medicine, University of Udine, Udine, Italy;1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China;2. Shanghai Stomatological Hospital, Fudan University, Shanghai, China;3. Department of Stomatology, Sichuan Academy of Medical Science and Sichuan Provincial People’s Hospital, Chengdu, China;1. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;2. Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA;1. Postgraduate Program in Dentistry, Cruzeiro do Sul University (UNICSUL), São Paulo, Brazil;2. Department of Diagnosis and Surgery, São José dos Campos School of Dentistry, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
Abstract:This case report puts an emphasis on retaining and re-fixing any avulsed bony segments in the maxillofacial region and maintaining the periosteal layer whenever possible, especially in young patients. Adequate bony fixation and watertight soft tissue closure are vital components for bone healing. The healing potential of facial bones is much higher as compared to the long bones, due to the superior blood supply.
Keywords:children maxillofacial injuries  trauma  avulsion  fracture healing  mandibular fractures
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