Mandibular Reconstruction Using Free Fibular Flap Graft Following Excision of Calcifying Epithelial Odontogenic Tumor

Abstract

The calcifying epithelial odontogenic tumor (CEOT) is a rare benign odontogenic tumor, which usually presents with distension of affected tissues. Radiologically, the lesions are often associated with an unerupted tooth and may have spot calcification shadows. The authors report a case of a CEOT in a 48-year-old male involving the right mandibular jaw bone and mentum soft tissues. The authors performed hemimandibulectomy and enucleation followed by reconstruction of the mandible using a vascularized free fibular flap through a digital surgical technique in order to restore the patient's facial symmetry and prepare the area for functional restorations. The case illustrates who the free fibular flap graft can be used for satisfactory mandibular reconstruction and restoration of the morphology and functions.

Giant calcifying epithelial odontogenic tumor after I-125 seed implantation: A case report

“…Through digital-aided design before operation can improve the accuracy of the reconstruction and shorten the operation time [ 27 ]. Additionally, little bone resorption occurs after fibula osteogenesis, and the height of bone reconstruction provides suitable conditions for removable denture and implant denture [ 28 ]. However, there is still about a 15% probability of recurrence after CEOT treatment.…”

Injertos óseos no vascularizados para la reconstrucción de defectos óseos mandibulares. Revisión sistemática

“…[9][10][11][12] Los defectos óseos mandibu-www.medigraphic.org.mx lares causados por cirugía de diversas patologías, traumatismos faciales o sus secuelas pueden ser tratados con una amplia variedad de opciones en la actualidad. [13][14][15][16][17][18][19][20] Una alternativa para la reconstrucción de defectos mandibulares es el uso de injertos óseos autólogos no vascularizados. 21 Los injertos óseos autólogos ofrecen grandes y mayores beneficios comparados con los aloinjertos, xenoinjertos o aloplásticos empleados para la reconstrucción de defectos óseos mandibulares.…”