A complicated facial reconstruction operation using modern technologies in the oral and maxillofacial department of Taleghani hospital
In November 6, 2016, a 62-year-old man underwent a complicated facial reconstruction operation using modern technologies in the department of oral and maxillofacial surgery of Taleghani hospital, Tehran, Iran.
In this 12-hour operation, Dr Hamed Mohammadi, OMFS, fellowship in oncology and microvascular head and neck surgery from Worcestershire Acute hospital, UK, and Dr Hossein Behnia, full professor in OMFS department of Shahid Beheshti School of dentistry and Taleghani hospital, residents from departments of OMFS, ENT, and orthopedics cooperated and employed two up-to-date worldwide technologies.
Dr Behnia told that the patient has lost a large amount of neck, upper and lower jaw, nose and tongue tissues due to a gunshot accident since 2013. The reconstructive operation includes multiple stages. Reconstruction of lower jaw and soft tissues of neck and floor of the mouth has already been started. After a comprehensive 3-dimensional anatomical reconstruction using CT-scan, a special titanium plate has been prepared by the manufacturer. In the next step, based on a 3D CT-scan of leg bone, an accurate template has been produced to be used as a model for making bony graft from fibula.
This graft which included soft tissues and vessels transferred to the defect site of jaw bone and fixed with late and screws. Arterial and venal anastomose to neck vessels has been immediately established. Dr Behnia added: The other new technology in this operation which increases success rate is Doppler. Using Doppler in the anastomose site will make the monitoring more accurate which in turn helps in diagnosis of any probable problems in blood vessels and acting accordingly.
He stated that the general condition of the patient is satisfactory and next stages of the operation will take place in the next months. Finally, Dr Behnia, acknowledged the sincere cooperation of Dr Peivandi, dean of the Shahid Beheshti University of Medical Sciences, Dr Eghbal, dean of the Shahid Beheshti School of dentistry, Dr Mohammad Alizadeh, dean of Taleghani hospital, Dr Bahman Malek, dean of the operation room, Dr Vosoughian, anesthetist, contribution of the department of ENT, the department of orthopedics, Mohammad Abdolhosseini, supervisor of the operation room and other personnel who took part in this operation