Mandibular odontogenic myxoma. Reconstructive considerations by means of the vascularized fibular free flap.

Abstract:

:The odontogenic myxoma is a rare entity located in mandible and upper maxilla. Due to its local aggressiveness, wide surgical excision is mandatory. Several surgical techniques have been described for the reconstruction of segmental mandibular defects. In comparison with other free flaps, the vascularized free fibular flap (VFFF) supports the longest amount of bone and, due to the nature of the vascular supply a complete freedom in location of the osteotomy is present. A precise mandibular arc can be performed following bone resection. We suggest the performance of the in situ VFFF technique in order to recreate mandibular contour by means of several osteotomies, while the pedicle is still attached to the leg. Substantial decrease in surgical time is obtained. With the double-barrel technique and subsequent osseointegrated implants, good results are obtained in the reconstruction of dentate patients without maxillary atrophy. We present two new cases of large odontogenic mandibular myxoma. Wide surgical excision by means of hemimandibulectomies and subsequent reconstruction with VFFF were performed.

authors

González García R,Rodríguez Campo FJ,Naval Gías L,Muñoz Guerra MF,Sastre Pérez J,Díaz González FJ

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

E531-5

issue

6

eissn

1698-4447

issn

1698-6946

pii

10489401

journal_volume

11

pub_type

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