Germain M A, Marandas P, Leridant A M, Domenge C, Julieron M, Schlumberger M, Mamelle G
Département de Chirurgie Cervico-Faciale, Institut Gustave-Roussy, Villejuif.
Rev Stomatol Chir Maxillofac. 1998 Feb;98(6):371-4.
Isolated mandibular metastasis from a thyroid cancer is exceptional. In our observation, it was revealed 13 years after the thyroid cancer (papillo-vesicular carcinoma which was treated with total thyroidectomy, nodes resection and I 131). Treatment included interruptive mandibulectomy and reconstruction with a free composed vascularized fibular transplant. Follow-up was uneventful. Functional and morphological results were excellent. Isolated cases are reported in the literature. Surgical resection must be achieved. The originality of our observation is the mandibular reconstruction with a free vascularized fibular transplant.