DOI: http://dx.doi.org/10.18203/2349-2902.isj20200326

Radical resection of giant ameloblastoma mandible with free fibula reconstruction: a case report and review of literature

Ankit Vishwani, Kavita Goyal, Dhirendra Suman, Vipin Arora, Suvercha Arya, Manisha Yadav

Abstract


The ameloblastoma is a rare odontogenic tumor of the oral cavity. It is slow growing, locally invasive benign tumor affecting mandible more than maxilla mostly in age group 30-60 years. It grows in bone and soft tissue causing facial disfigurement. Treatment is surgical taking wide margins. This case report describes the treatment of a 30-year-old female having right side jaw swelling since two years, fine needle aspiration cytology was suggestive of ameloblastoma. Right hemi mandibulectomy was done by head and neck surgery team and reconstruction was done by plastic surgery team using free fibula flap. The free fibula osteocutaneous flap is the most versatile and reliable option for microsurgical reconstruction of large mandibular defects.

Keywords


Free fibula osteocutaneous flap, Giant ameloblastoma, Hemi mandibulectomy, Radical resection

Full Text:

PDF

References


Effiom OA, Ogundana OM, Akinshipo AO, Akintoye SO. Ameloblastoma: current etiopatho-logical concepts and management. Oral Dis. 2018;24(3):307-16.

McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF, et al. Ameloblastoma: a clinical review and trends in management. Eur Archiv Oto-Rhino-Laryngol. 2016;273(7):1649-61.

Gbara A, Darwich K, Li L, Schmelzle R, Blake F. Long-term results of jaw reconstruction with microsurgical fibula grafts and dental implants. J Oral Maxill Surg. 2007;65(5):1005-9.

Kumamoto H, Yoshida M, Ooya K. Immunohistochemical detection of amelogenin and cytokeratin 19 in epithelial odontogenic tumors. Oral Dis. 2001;7(3):171-6.

Sehdev MK, Huvos AG, Strong EW, Gerold FP, Willis GW. Ameloblastoma of maxilla and mandible. Cancer. 1974;33(2):324-33.

Zhu J, Yang Y, Li W. Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Bri J Oral Maxill Surg. 2014;52(2):163-7.