Patient Flies To Portland To Get Part Of His Face Rebuilt In One Day First-ever Surgery To Remove An Aggressive Tumor And Construct A New A Jawbone And Jaw Hinge In One Day Performed At Legacy Good Samaritan Medical Center (Photo) -09/03/20
Available media interviews: Patient: C. Philip Chastain and Baber Khatib, M.D., DDS
September 3, 2020 (Portland, Ore.) C. Philip Chastain, 53, flew from Charleston, South Carolina, to Portland to get the lower left side of his face reconstructed in one day. Chastain suffers from a recurrent ameloblastoma, a rare, aggressive, benign tumor that kept growing out of his left jawbone. The bulging tumor eventually destroyed his jaw. Chastain read an article in his local newspaper about an oral and maxillofacial surgeon named Baber Khatib, M.D., DDS, who performed a Jaw-in-a-Day® procedure on several patients.
“I met Dr. Khatib before he left South Carolina for Oregon,” said Chastain. “His treatment plan made me feel comfortable, so I knew I was going to Oregon to get this done.” Ameloblastoma is a rare head and neck tumor. If left untreated, it can grow and cause severe facial deformities and loss of teeth, making it difficult to eat or talk. “It psychologically impacted me because it changed my appearance,” said Chastain, a single father. Chastain was treated twice before by conventional methods; however, the tumor returned and extended to his skull base.
Using the fibula (calf bone) to repair a jaw has been around for many years. What makes this innovative is now surgeons can reconstruct the patient’s jaw and screw in a new set of teeth all in one day. Chastain’s case had an added complexity; he needed a new temporomandibular joint, the hinge that connects the jawbone to the skull, and this would be the first one performed on the west coast. “The Jaw-in-a-Day® procedure saves time and multiple trips to the operating room,” said Dr. Khatib. “Traditional treatments for ameloblastoma typically involve several reconstructive surgeries over one to two years.”
Dr. Khatib, who specializes in head and neck microvascular reconstructive surgery, says the procedure is unusually complex and requires a team of specialists in the operating room at the same time. His partner, Dr. Ashish Patel removed Chastain’s jaw and the tumor. Dr. Khatib used a custom three-dimensional printed articulated model he designed to ensure the patient had a balanced bite, and his new joint functioned smoothly. He used the model to create a symmetrical and functional jawbone. Dr. Khatib’s plan was to simultaneously replace any missing teeth with dental implants and a prosthesis in one surgery while the bone was still attached and being perfused by vessels in the leg. Dr. Khatib would then use bone to rebuild his temporomandibular joint. After the 10-hour surgery, Chastain had a new jaw in place.
James Busch, with 3D Systems, the virtual planning company used for the Jaw-in-a-Day®, confirmed that this was the first time the procedure included a temporomandibular joint reconstruction on the West Coast.
Chastain stayed one week in the hospital. “The Jaw-in-a-Day® gets patients back to their daily lives sooner,” said Dr. Khatib. Just days after the surgery, Chastain was back at home in South Carolina with only a small scar on his leg and jaw.
“I’m looking forward to getting back to running as soon as possible, and I’m planning on doing a pretty strenuous 100-mile solo hike late next spring in the mountains of North Carolina.
It was such a relief to find Dr. Khatib.”
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Photo caption: C. Philip Chastain – before and after the Jaw-in-a-Day® procedure.
Photo credit: C. Philip Chastain and Baber Khatib, M.D., DDS.
Photo caption: Intraoperative view of Chastain’s surgery. Dr. Baber Khatib is checking the bite at the leg and the final fit of the teeth and temporomandibular joint reconstruction in the mouth before final closure.
Photo credit: Baber Khatib, M.D., DDS.
Photo caption: Before: a) tumor b) bony resorption by tumor c) extension to skull base
Photo credit: Baber Khatib, M.D., DDS.
Photo caption: Dr. Baber Khatib’s planned reconstruction (Virtual Surgical Planning)
Photo credit: Baber Khatib, M.D., DDS.
Legacy Health is Oregon’s only locally owned nonprofit health-care organization with nearly 12,000 employees. Legacy includes Legacy Emanuel Medical Center, Randall Children’s Hospital at Legacy Emanuel, Legacy Good Samaritan Medical Center, Legacy Meridian Park Medical Center, Legacy Mount Hood Medical Center, Legacy Salmon Creek Medical Center, Legacy Silverton Medical Center, Legacy Laboratory Services, and Legacy Research Institute. Legacy also includes over 100 Legacy Medical Group primary care and specialty care clinics.
Based in Portland, Oregon, Head and Neck Surgical Associates (HNSA) is the Northwest’s most highly specialized medical and surgical practice. With expertise in head and neck, oral, maxillofacial and facial cosmetic surgeries, HNSA is comprised of a unique group of board-certified physicians that attended both medical and dental school.
