Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Treatment of a Huge Odontogenic Myxoma in the Mandible with Surgical Resection and Reconstruction Using a Vascularized Fibular Free Flap: Case Report

하악골에 발생한 거대한 치성 점액종의 절제 및 비골 혈관화 유리 피판을 이용한 재건: 증례보고

  • Suh, Jin-Won (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Eu-Gene (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Park, Won-Jong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 서진원 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 김유진 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 박원종 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 김성민 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 이종호 (서울대학교 치의학대학원 구강악안면외과학교실)
  • Received : 2011.11.08
  • Accepted : 2011.11.21
  • Published : 2012.01.30
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Abstract

The odontogenic myxoma is a relatively rare, benign tumor that occurs on the jaw. A 41 year-old man visited Seoul National University Dental Hospital because of swelling of the mandible. Clinical and radiographic evaluation showed a huge mass invading most of the mandible. After biopsy, he was diagnosed with odontogenic myxoma. For resection of the lesion, partial mandibulectomy and reconstruction with a vascularized fibular free flap was done. The result showed successful removal of the lesion. Reconstruction resulted in satisfactory functional and esthetic outcomes. We conclude that huge benign neoplasms such as odontogenic myxomas can be successfully treated by using a wide margin of resection followed by vascularized fibular free flap reconstruction.

Keywords

References

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