Department of Dental Implantology.
Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Changchun, China.
J Craniofac Surg. 2021;32(2):e167-e171. doi: 10.1097/SCS.0000000000006955.
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.
钙化上皮性牙源性肿瘤(CEOT)是一种罕见的良性牙源性肿瘤,通常表现为受累组织的膨胀。放射学上,病变常与未萌出牙有关,可能有斑点状钙化阴影。作者报告了一例发生于 48 岁男性的 CEOT,累及右侧下颌骨和颏部软组织。作者采用数字化外科技术,通过游离腓骨瓣血管化进行半下颌骨切除术和肿瘤剜除术,然后重建下颌骨,以恢复患者的面部对称性,并为功能修复做好准备。该病例说明了游离腓骨瓣移植物可用于满意的下颌骨重建和形态与功能的恢复。