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Successful surgical removal and reconstruction of the recurrent ameloblastoma of mandible

28/7/2015

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A 29 year old man reported to our hospital with the complaint of swelling in the right side of his face. He added that twice it was removed in his hometown surgically and it was failed and recurrence occurred. He was very cautious about this progressive swelling which made him under huge depression.
After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji diagnosed it as recurrent ameloblastoma involving the right side body of the mandible. Surgery was planned to remove the lesion and reconstruct the affected jaw portion in a single stage. Through gingivomucoperiosteal flap, complete removal of the lesion along with the involved teeth with sufficient clearance of the bone was done under General anesthesia.  Costochondral rib graft was harvested and fixed to it. Flap was approximated and sutured. Patient was happy to have both removal and reconstruction in a single surgery.
Preoperative OPG showing lesion in the right of the lower jaw and missing premolar teeth
Costochondral graft harvested to reconstruct the affected portion of lower jaw
Gingivomucoperiosteal flap raised and affected portion of the lower jaw was exposed
Wide excision of the benign lesion was done along with the involved teeth in toto
Complete removal of the affected jaw bone along with the benign lesion and involved teeth
Harvested costochondral graft fixed with the adjacent bone using bone plates
Immediately after suturing
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