MANDIBLE RECONSTRUCTION WITH MICROVASCULAR FIBULA BONE GRAFT AFTER RESECTION OF OSSIFYING FIBROMA. CASE REPORT.

Autor: CONSTANTINO, Julia Villemberg Turini, ARAUJO, Stella Cristina Soares, de TOLEDO, Guilherme Lacerda, CHIAVAIOLI, Gustavo Marques de Oliveira, AMARAL, Marcio Bruno Figueiredo
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe178-e179, 2p
Abstrakt: Ossifying fibroma (OF) is a benign fibro-osseous lesion characterized by the replacement of normal bone with fibrous tissue. In this case, a 20-year-old male patient reported a painless swelling over the right mandible that had been present for the past 6 months. There was no history of prior trauma, and the patient did not report any associated paresthesia. Upon intraoral examination, a diffuse swelling was observed over the right buccal vestibule, involving teeth 46 and 47. The lesion displayed well-defined characteristics on a CT-Scan, featuring a sclerotic border, a central area with radiating trabeculations extending to the periphery, and multiple areas of calcification. The diagnosis of OF was confirmed through histopathological examination after an incisional biopsy. Treatment for the lesion involved intra-oral resection of the mandible, and five months later, reconstruction was performed using a microvascular fibula bone graft. A pre-bent titanium reconstruction plate was customized using a 3D model as a template. In postoperative follow-up, the patient exhibited satisfactory healing with no clinical signs of recurrence. [ABSTRACT FROM AUTHOR]
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