PURPOSE The reconstruction of mandibular defects poses many difficulties due to the unique, complex shape of the mandible and the temporomandibular joints. With development of microvascular anastomosis, free tissue transplantation techniques, such as deep circumflex iliac artery (DCIA) flap and fibular free flap (FFF), were developed. The DCIA offers good quality and quantity of bone tissue for...

Distraction osteogenesis with the shortening and lengthening method is a well-established procedure for repairing extremities. We used this technique for reconstruction after mandibular segmental resection. A 74-year-old woman underwent distraction osteogenesis with an intraoral device, initially shortening the mandible after a 20-mm-long segmental resection, followed by lengthening at a rate o...

The purpose of this paper was to describe a rare unusual case of primary mandibular condylar tenosynovial giant cell tumor of diffuse type with predominantly intraosseous growth and its management by resection and functional reconstruction with a vascularized costochondral graft. Clinical presentation was swelling in the right condylar area and limited mouth opening with radiological evidence o...

conclusions using 3d ct scan to produce a prototype and reconstruct the mandible with a custom-made ti-mesh tray was useful. patient was followed up for 14 months. mandibular deviation was largely corrected. there was no complication in the donor site. no sign of extra or intra oral fistula, dehiscence or infection was detected. ti-mesh technique has three major advantages over other methods: i...

1 Médico, Mestre e Doutor, Fellow, Centro Médico da Universidade de Kansas, Departamento de Otorrinolaringologia. 2 Médico, Fellow do Colégio Americano de Cirurgiões, Professor Assistente Centro Médico da Universidade de Kansas, Departamento de Otorrinolaringologia. 3 Médico, Fellow do Colégio Americano de Cirurgiões, Professor Assistente Centro Médico da Universidade de Kansas, Departamento de...

OBJECTIVES this report describes the masticatory implant- supported rehabilitation of a patient undergoing resection for mandibular ameloblastoma. CASE REPORT in the reported case the patient underwent resection and reconstruction with a fibula flap for masticatory rehabilitation of 7 implants at the level of the mandible. DISCUSSION ameloblastoma is a benign locally invasive tumor of maxil...

BACKGROUND Clear cell odontogenic carcinoma is a rare odontogenic tumor occurring in the anterior region of the mandible in 5th-7th decades and shows a female preponderance. It is potentially aggressive, capable of frequent recurrences and loco-regional and distant metastases. CASE PRESENTATION A 45-year-old woman presented with a radiolucent left mandibular swelling associated with loss of t...