Author/Authors :
Öztürk, Sinan Gülhane Askeri Tıp Fakültesi (GATF) - Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Turkey , Zor, Fatih Gülhane Askeri Tıp Fakültesi (GATF) - Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Turkey , Şahin, İsmail Gülhane Askeri Tıp Fakültesi (GATF) - Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Turkey , Öztürk, Serdar Gülhane Askeri Tıp Fakültesi (GATF) - Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Turkey , Deveci, Mustafa Gülhane Askeri Tıp Fakültesi (GATF) - Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Turkey , Işık, Selçuk Gülhane Askeri Tıp Fakültesi (GATF) - Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Turkey
Abstract :
The central giant cell granuloma constitutes approximately 7% of the benign jaw tumors. The clinical behavior of central giant cell granuloma ranges from a slowly growing asymptomatic lesion to an aggressive lesion manifesting with pain, local bone destruction, root resorption, or displacement of teeth. Recurrence risk is high after insufficient treatment. In this case report a 28-year-old male patient with central giant cell granuloma in whom free osteocutaneous fibula flap was performed is presented. Local curettage and marginal resection may not provide a complete treatment in cases of central giant cell granuloma with aggresive course and resistant to radiotherapy. Instead, we suggest restoration with free osteocutaneous flap following an extended resection and long term clinical and radiological follow up.