NUMERO: #20230198

Título: Mandible reconstruction with microvascular fibula bone graft after resection of ossifying fibroma. Case report.

Nome do Apresentador: Julia Villemberg Turini CONSTANTINO

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: Ossifying fibroma (OF) is a benign fibro-osseous lesion characterized by the replacement of normal bone with fibrous tissue. A 20-year-old male patient reported painless swelling over the right mandible for the past 6 months. There was no history of previous trauma, and no associated paresthesia was reported. Intraoral examination revealed diffuse swelling over the right buccal vestibule involving teeth 46 and 47. The lesion appeared well defined on CT-Scan, with a sclerotic border, a central area of trabeculations radiating to the periphery, and multiple areas of calcification. The histopathological examination confirmed OF diagnosis after an incisional biopsy. The lesion was treated with intra-oral resection of the mandible, and five months later, reconstruction was performed using a microvascular fibula bone graft. A pre-bent titanium reconstruction plate was adapted using a 3D model as a template. In postoperative follow-up, the patient showed satisfactory healing with no clinical signs of recurrence.

Autor 1:  Julia Villemberg Turini CONSTANTINO

E-mail 1:  [email protected]

Autor 2:   Stella Cristina Soares ARAUJO

E-mail 2:  [email protected]

Autor 3 :  Guilherme Lacerda de TOLEDO

E-mail 3:  [email protected]

Autor 4:  Gustavo Marques de Oliveira CHIAVAIOLI

E-mail 4:  [email protected]

Autor 5:  Marcio Bruno Figueiredo AMARAL

E-mail 5:  [email protected]