Kim Soung Min, Amponsah Emmanuel K, Kim Hui Young, Kwon Ik Jae, Myoung Hoon, Lee Jong Ho
Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana; Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
Oral and Maxillofacial Microvascular Reconstruction LAB, Brong Ahafo Regional Hospital, Sunyani, Ghana.
Ghana Med J. 2016 Sep;50(3):197-199.
Ameloblastoma is the most common benign odontogenic tumor of the jaw, and expansional growth of a huge untreated ameloblastoma can result in disturbances in facial aesthetics and function, such as difficulty with mouth opening, swallowing, chewing, breathing, neurologic deficits, and pathologic fractures. Radical wide resection with safety margins and subsequent reconstruction is generally recommended. A fibular free flap (FFF) is commonly used to reconstruct the mandible in order to adequately restore both aesthetic appearance and function. The aim of this brief clinical report is to present a case of huge ameloblastoma after wide resection with free safety margins, and describe the immediate one-step mandibular reconstruction using a vascularized composite FFF. The sterolithographic( rapid prototype, RP) model, a wax pattern of the resected mandible, and a surgical fibular stent made from the wax pattern were constructed preoperatively. We suggest a standardized surgical protocol for mandibular reconstruction with FFF.
Supported by the International Research & Development Program of the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2015K1A3A9A01028230).
成釉细胞瘤是颌骨最常见的良性牙源性肿瘤，巨大的未经治疗的成釉细胞瘤的膨胀性生长可导致面部美观和功能障碍，如张口困难、吞咽困难、咀嚼困难、呼吸问题、神经功能缺损和病理性骨折。一般建议进行带安全切缘的根治性广泛切除并随后进行重建。腓骨游离皮瓣（FFF）通常用于重建下颌骨，以充分恢复美观外观和功能。本简短临床报告的目的是介绍一例经广泛切除且切缘安全的巨大成釉细胞瘤病例，并描述使用带血管复合FFF进行的即时一步下颌骨重建。术前构建了立体光刻（快速原型，RP）模型、切除下颌骨的蜡型以及由蜡型制成的手术腓骨支架。我们建议采用标准化的FFF下颌骨重建手术方案。
由韩国国家研究基金会（NRF）的国际研发计划支持，该计划由科学、信息通信技术与未来规划部资助（NRF - 2015K1A3A9A01028230）。
