RESUMEN
PURPOSE: This study aimed to analyze the impact of surgical treatment on the quality of life of patients diagnosed with ameloblastoma. METHODS: We searched PubMed, Science Direct, LILACS, EMBASE, and Web of Science, up to February 2021, with no time restriction. We considered only studies published in English that evaluated patients diagnosed with ameloblastoma who underwent conservative or radical surgical treatments using a quality of life (QOL) instrument. RESULTS: Of the 2155 studies identified, ten were included in our sample. Only studies that analyzed QOL of radical surgical treatment were included. No studies that analyzed QOL after conservative surgical treatment were found. Across all studies, 283 patients (122 females and 161 males; mean age: 28.13 years) were surgically treated for ameloblastoma. A total of 69 complications were reported, with the most frequent being infection in both the donor and recipient site (18 cases) and graft loss (8 cases). CONCLUSION: Surgical treatment of ameloblastoma was effective in providing reasonable health-related QOL, as most of the assessed dimensions were found to improve.
Asunto(s)
Ameloblastoma , Adulto , Ameloblastoma/cirugía , Tratamiento Conservador , Femenino , Humanos , Masculino , Calidad de VidaRESUMEN
In severe atrophic mandibular fractures, the absence of stable occlusion, as well as poor bone volume at the fracture site, constitutes a lack of references during surgery to achieve accurate fracture reduction. Unsuccessful reduction and stabilization can lead to several complications, such as fracture misalignments, malunion, and facial asymmetry. An alternative to avoid the aforementioned issues is fracture reduction based on virtual surgical planning (VSP) technology. However, there is little information regarding VSP protocols for the management of mandible fractures. Herein, a new technique with low cost is reported in which VSP and computer-aided manufacturing of a positioning guide were applied in a 72-year-old female patient with bilateral fractures in her atrophic mandible in the body region. The positioning guide was used during fracture reduction on the inferior surface of the mandible as per the virtual reduction. A 3-dimensional mandible model was also printed, facilitating the prebent 2.4-mm reconstructive plate. The surgical procedure was performed with no complications, resulting in the accurate fit of both the bent plate and the guide. A postoperative computed tomography scan showed good condylar position, fracture reduction, and hardware adaptation. A follow-up approximately 2 years later showed that she was successfully rehabilitated with the dental prosthesis. Therefore, VSP is a valuable tool for attaining a predictable result in the treatment of severe atrophic mandibular fracture, with a reduced operative duration, acceptable precision of fracture reduction, and low cost.