Lower jaw reconstruction and dental rehabilitation after war injuries: The experience of Paul Tessier in Iran in the late 1980s

Abstract Iraq–Iran war resulted in more than 400,000 people requiring prolonged medical care in Iran. An international team of prominent reconstructive surgeons led by Paul Tessier, the founder of craniofacial surgery, was invited to Iran during the war by official organizations entitled to support...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 2015-06, Vol.43 (5), p.606-610
Main Authors: Simon, François, Ketoff, Serge, Guichard, Benjamin, Wolfe, S. Anthony, Tulasne, Jean-François, Bertolus, Chloé, Khonsari, Roman Hossein
Format: Article
Language:English
Subjects:
Bone Transplantation - history
Dental implant
Dental Implantation, Endosseous - history
Dentistry
History, 20th Century
Human health and pathology
Humans
Iran
Iraq
Life Sciences
Mandibular Reconstruction - history
Paul
Reconstruction
Reconstructive Surgical Procedures - history
Surgery
Surgical Flaps - history
Tessier
War injury
War-Related Injuries - history
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Summary:Abstract Iraq–Iran war resulted in more than 400,000 people requiring prolonged medical care in Iran. An international team of prominent reconstructive surgeons led by Paul Tessier, the founder of craniofacial surgery, was invited to Iran during the war by official organizations entitled to support war victims. This team provided up-to-date oral and maxillofacial rehabilitation to patients with severe trauma defects in the lower third of the face. We collected the medical notes of 43 patients operated on by the Tessier team in Iran in the 1980s (files property of AFCF). The parameters we collected were: age of the patient, nature of the trauma (when available), previous procedures, number of implants placed (mandibular and maxillary), associated procedures (bone grafts, soft-tissue procedures, orthognathic surgery). A protocol based on soft-tissue rehabilitation using local flaps, parietal or iliac bone grafts and implant placement 6 months later was used in all patients. Paul Tessier's approach emphasizes the importance of keeping high standards of care in difficult situations and maintaining standard protocols.
ISSN:1010-5182
1878-4119
DOI:10.1016/j.jcms.2015.02.015