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Medicina Oral, Patología Oral y Cirugía Bucal (Internet)

versão On-line ISSN 1698-6946


GONZALEZ GARCIA, Raúl et al. Mandibular odontogenic myxoma: Reconstructive considerations by means of the vascularized fibular free flap. Med. oral patol. oral cir.bucal (Internet) [online]. 2006, vol.11, n.6, pp.531-535. ISSN 1698-6946.

The odontogenic myxoma is a rare entity located in mandible and upper maxilla. Due to its local aggressiveness, wide surgical excision is mandatory. Several surgical techniques have been described for the reconstruction of segmental mandibular defects. In comparison with other free flaps, the vascularized free fibular flap (VFFF) supports the longest amount of bone and, due to the nature of the vascular supply a complete freedom in location of the osteotomy is present. A precise mandibular arc can be performed following bone resection. We suggest the performance of the "in situ" VFFF technique in order to recreate mandibular contour by means of several osteotomies, while the pedicle is still attached to the leg. Substantial decrease in surgical time is obtained. With the "double-barrel" technique and subsequent osseointegrated implants, good results are obtained in the reconstruction of dentate patients without maxillary atrophy. We present two new cases of large odontogenic mandibular myxoma. Wide surgical excision by means of hemimandibulectomies and subsequent reconstruction with VFFF were performed.

Palavras-chave : Odontogenic myxoma; vascularized fibular free flap; mandibular reconstruction.

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