Recurrent Ameloblastoma Involving Fibula Neo-mandible: Management with Digital Planning and Reconstruction Using a Contralateral Free Fibula Flap.
| Autor: | Beecher SM; Plastic & Reconstructive Surgery, Cork University Hospital, Cork, IRL., Lennon P; Ear, Nose & Throat Surgery, St. James's Hospital, Dublin, IRL., O'Shaughnessy M; Plastic & Reconstructive Surgery, Cork University Hospital, Cork, IRL., Barry CP; Maxillofacial Surgery, St. James's Hospital, Dublin, IRL. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Apr 29; Vol. 12 (4), pp. e7880. Date of Electronic Publication: 2020 Apr 29. |
| DOI: | 10.7759/cureus.7880 |
| Abstrakt: | Ameloblastoma is a locally aggressive tumor that most commonly arises in the mandible. It has a high rate of recurrence if inadequately excised. We report a case of a patient who developed recurrence of his ameloblastoma in his fibula flap mandibular reconstruction despite clear resection margins 23 years after resection. This is the first reported case of recurrent ameloblastoma in a neo-mandible reconstruction in the setting of negative margins. We discuss its surgical management using digital planning and reconstruction using a contralateral free fibula flap. Ameloblastoma is a locally aggressive entity that requires complete excision. Recurrence can even occur in the reconstruction, which can present a challenge to manage. Consideration should be given to repeat excision and second osseous flap reconstruction. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Beecher et al.) |
| Databáze: | MEDLINE |
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