Sahin, ismail Gulhane Askeri T1p Akademisi - Rekonstruktif ve Estetik Cerrahi B D, Turkey , Guzey, Serblilent Gulhane Askeri T1p Akademisi - Rekonstruktif ve Estetik Cerrahi Anabilim Dalı, Turkey , Ozturk, Serdar Gulhane Askeri T1p Akademisi - Rekonstruktif ve Estetik Cerrahi B D, Turkey , Aykan, Andac Gulhane Askeri T1p Akademisi - Rekonstruktif ve Estetik Cerrahi B D, Turkey , lsik, Selcuk Gulhane Askeri T1p Akademisi - Rekonstruktif ve Estetik Cerrahi B D, Turkey

Mandible reconstruction with free fibular lap at an infantile fibromatosis case: a case report

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In the pediatric age, Desmoid fbromatosis is a rere soft tissue tumor, which mostly involves extra abdominal tissues like mandible. Although histologically benign nature, locally aggressive behavior of thetumor can cause large bone tissue destruction in these cases. Even though treatment by surgical excision with extended safety margins is the mostly preferred and best practice, this approach can form large bone defects. Therefore, reconstruction of these defects are still a surgical challenge, which is closely related to the age. In this paper, we present an infantile mandibular desmoid fbromatosis case, whom tumor was totally excised 6 years ago and reconstruction of the bony segment was performed with free fbular fap 5 years later. At the microsurgical process, either intraoperatively or postoperatively we did not observe any complication or orientation problem. Also, there has not been detected any occlusion problem, facial asymmetry or additional deformities that is displayed by radiologically, up to now. By this way we describe that the free fbular fap is a good opportunity for the mandibular reconstructions, independently to the age.

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infantile fibromatosis , Desmoid fibromatosis , Pediatric microsurgery , Fibular flap

Gulhane Medical Journal

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