MANDIBLE RECONSTRUCTION WITH FREE ILIAC CREST GRAFT AFTER AMELOBLASTOMA RESECTION: A CASE REPORT

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology Vol. 134; no. 3; p. e110
• Main Authors: Nascimento, Yasmin Lima, Pontes, Kaiane Tavares, De Andrade, Taysnara Ismaeley, Lôbo, Maelly Vicente, De Almeida, Pedro Alves, Torres, Belmino Carlos Amaral, Brainer, Diogo Luiz Bastos
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.09.2022
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2022.01.162

Ameloblastoma is a benign neoplasm from the odontogenic epithelial tissue found in the maxillary bones. Ameloblastoma resections result in bone defects. Therefore, grafts are well indicated for rehabilitation. We report a case of a 29-year-old female patient with tumefaction at the anterior mandible. Histopathologic analysis showed a multicystic ameloblastoma. According to the tomographic examination, the lesion measured approximately 2.3 × 1.6 cm in diameter. We decided to perform a marginal tumor resection associated with mandibular reconstruction by an autogenous graft from the iliac crest, fixed with titanium plates. Currently, the patient is undergoing a 7-month postoperative follow-up, showing graft integration and satisfactory bone volume, with no signs of lesion recurrence. Thus, it is observed that this type of graft is considered a good option for maintaining the function and esthetics of patients after resection.