Free Fibular Osteoseptocutaneus Flap for Reconstruction of Giant Ameloblastoma

Rachmat Wiardi, Irra
2016 Journal of Medicine and Health Free Fibular Osteoseptocutaneus Flap   unpublished
Ameloblastoma is a tumor originating from odontogenic epithelial cells. The tumor is located in the gray zone between benign and malignant neoplasm. These tumors can occur at any age. Although traditionally divided as solid and cystic ameloblastoma, nearly all showed cystic changes. These tumors are invasive and have a very high recurrence rate. The operative therapy of choice is radical resection of the affected parts of the jaw, followed by reconstruction. Bridging titanium plate can be used
more » ... o replace part of lost bone and serves as a means of reconstruction. Various methods of reconstruction of the mandible can be done by using a bone graft from the calcaneus, fibula, ribs, scapula, iliac crest, or flap reconstruction. We reported a case of a 18 years old male patient with lump under the tongue that emerged 8 years ago, accompanied by eating and speaking difficulty, and shortness of breath. The diagnosis of mandible ameloblastoma was confirmed by anatomical pathology examination. The patient went through segmental mandibulectomy and free fibular osteoseptocutaneous free flap with multiple osteotomy. Patients went home with improved condition.
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