Chauke Nkhensani Yvonne, Sofianos Chrysis, Liakos Dimitri, Ndobe Elias
Department of Plastic and Reconstructive Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.
BMJ Case Rep. 2017 Aug 1;2017:bcr-2017-220436. doi: 10.1136/bcr-2017-220436.
A 24-year-old womanpresented with ameloblastic fibrosarcoma arising from ameloblastic fibroma. The delayed presentation accounted for the extensive destruction of the mandible and complete occlusion of her oral cavity. This resulted in an inability to eat and maintain oral hygiene. A multidisciplinary team management approach involved nutritional optimisation, segmental mandibulectomy, reconstruction with a reconstructive plate and a free anterolateral thigh flap to line the the floor of mouth. Functional and aesthetic outcome was acceptable, and the patient is planned for secondary free fibular flap bony reconstruction.
一名24岁女性,患有由成釉细胞纤维瘤恶变而来的成釉细胞纤维肉瘤。就诊延迟导致下颌骨广泛破坏,口腔完全闭锁,致使患者无法进食及维持口腔卫生。多学科团队管理方法包括优化营养、节段性下颌骨切除术、用重建钢板重建以及采用游离股前外侧皮瓣修复口腔底部。功能和美观效果可接受,计划为患者进行二期游离腓骨瓣骨重建。