Segmental Resection With Primary Reconstruction Using a Patient-Specific Implant for Unicystic Ameloblastoma: A One-Year Follow-Up Case Report

Abstract

Unicystic ameloblastoma is a slow-growing tumor originating from the odontogenic epithelium that can be localized within the lining of a cyst. It commonly affects younger individuals and is frequently found in the posterior mandible. The classification of this tumor is based on histopathological characteristics, distinguishing between the luminal, intraluminal, and mural proliferation of the odontogenic epithelium. Treatment options vary depending on the histology and can range from enucleation to resection with secondary reconstruction. In recent years, patient-specific implants have gained popularity in reconstructive surgeries, particularly in craniomaxillofacial surgery. This case report focuses on a 22-yearold female patient with a mural-type unicystic ameloblastoma. The treatment involved segmental mandibular resection with primary reconstruction using a patient-specific implant to address the mandibular defect. The postoperative healing process and condylar movement were evaluated, and the patient achieved satisfactory results. This case report provides valuable insights into the management of primary reconstruction using a patient-specific implant.

Segmental resection with primary reconstruction using patient- specific implant for odontogenic fibromyxoma: An illustrative rare case from Nepal

“…Some studies propose segmental maxillectomy or mandibulectomy due to its aggressive nature, followed by reconstruction using a free fibula flap and reconstruction plate. The complexity and associated morbidities of reconstructive surgeries have recently been reduced by the development of patient-specific implants [ 3 ].…”