Abstract

VITERI-GARCIA, José Luis  and  MOHAMED, Sid. Condylar neoformation after mandibular reconstruction with microvascularized fibula free flap: a case report. Rev Esp Cirug Oral y Maxilofac [online]. 2022, vol.44, n.4, pp.160-166.  Epub Apr 17, 2023. ISSN 2173-9161.  https://dx.doi.org/10.20986/recom.2023.1416/2022.

The microvascularized fibula flap is the gold standard for mandibular reconstruction due to its great capacity for bone remodelling, it has been shown that the distal segment of the fibula can take on the shape and structure of a condyle. We report the clinical case of an adult male patient diagnosed with odontogenic myxoma, who was underwent hemimandibulectomy with total resection of the condyle and primary mandibular reconstruction using a microvascularized free flap of the fibula. After 30 months of follow-up, condylar neoformation and progressive adaptation to the glenoid cavity was observed even though the distal end of the fibula was originally distant from the digitally planned position.

Keywords : Mandibular reconstruction; free tissue flaps; mandibular condyle; case report.

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