Treatment of recurrent mandibular ameloblastoma with segmental resection and revascularized fibula free flap

The adamantinoma is characterized by a high rate of local recurrence. Because of this peculiarity, radical treatment is generally preferred than conservative surgery. Resection with free margins is associated with lower risk of recurrence but is not recurrence free; thus, the importance of long and...

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Veröffentlicht in:	The Journal of craniofacial surgery 2011-05, Vol.22 (3), p.1163-1165
Hauptverfasser:	Becelli, Roberto, Morello, Roberto, Renzi, Giancarlo, Matarazzo, Giorgio, Dominici, Chiara
Format:	Artikel
Sprache:	eng
Schlagworte:	Ameloblastoma - diagnostic imaging Ameloblastoma - pathology Ameloblastoma - surgery Dentistry Diagnosis, Differential Female Fibula - transplantation Humans Mandibular Neoplasms - diagnostic imaging Mandibular Neoplasms - pathology Mandibular Neoplasms - surgery Middle Aged Neoplasm Recurrence, Local Oral Surgical Procedures - methods Radiography, Panoramic Reconstructive Surgical Procedures - methods Surgical Flaps - blood supply Tomography, X-Ray Computed
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Beschreibung
Zusammenfassung:	The adamantinoma is characterized by a high rate of local recurrence. Because of this peculiarity, radical treatment is generally preferred than conservative surgery. Resection with free margins is associated with lower risk of recurrence but is not recurrence free; thus, the importance of long and scrupulous follow-up is evident. The aim of this study was to present a patient with recurrent mandibular adamantinoma after box resection with safety margins of 1 cm that has necessitated of a segmental resection with 1-step reconstruction with revascularized fibula free flap.
ISSN:	1049-2275 1536-3732
DOI:	10.1097/SCS.0b013e318210bc34