The “drawer-like” resection and reconstruction with Titanium Mesh: a novel surgical technique for treatment of giant ossifying fibroma in the maxilla

Publication date: Available online 29 December 2016
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Mingming Lv, Jun Li, Yi Shen, Liang Wang, Jian Sun
PurposeThe aim of this article is to introduce a new surgical method for treatment of ossifying fibroma (OF) in the maxilla with dislocation of eyeball, and evaluate the postoperative outcomes and prognosis.Patients and MethodsPatients of maxillary OF treated with the "drawer-like" resection were retrieved from 2014 to 2015. The surgical procedure consists of total removal of the orbital floor and majority of the maxilla with the preservation of alveolar ridge, immediately followed by reconstruction with titanium mesh. Postoperative appearance and function were assessed. In addition, the recurrence rate was statistically observed.ResultsThe study included 6 patients of maxillary OF who were treated with "drawer-like" resection. Good esthetics and reduction of the globe have been well achieved in all the patients. Long-term follow-up shows that the recurrence rate is low. It needs to be emphasized that the original occlusal relationship and the masticatory function have been preserved.ConclusionsWith this new method, the original occlusal relationship can be well preserved. Meanwhile, bulging of maxilla and eyeball displacement have been corrected.



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