J Korean Soc Plast Reconstr Surg Search


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(2):212-216.
Published online March 1, 2011.
Mandibular Reconstruction and Dental Implantation after Segmental Mandibulectomy of Ameloblastoma of the Mandible.
Seung Jo Seo, Il Jae Lee, Jung Geun Lee, Hyo Seob Lim, Chee Sun Kim, Myong Chul Park
1Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Suwon, Korea. mpark@ajou.ac.kr
2Department of Dentistry, Ajou University School of Medicine, Suwon, Korea.
Ameloblastomas are rare benign tumors of odontogenic origin, and compose about 1% of all oral and maxillomandibular cysts and tumors. Because this neoplasm has a high rate of local recurrence, segmental mandibulectomy with a 1~2cm safety margin and immediate microsurgical reconstruction is an accepted treatment modality. The authors experienced four mandibular reconstruction cases that underwent secondary dental implantation. Here, the authors describe these cases and their long-term results. METHODS: Four patients with ameloblastoma of the mandible underwent segmental mandibulectomy and reconstruction with a free fibula osseous flap from January 1999 to May 2005, followed by secondary dental implantation. Recurrence, bony union, implant osseointegration, and functional and aesthetic results were evaluated by radiologic imaging, by physical examination, and by using photographs.
All free flaps survived with no evidence of flap loss. To date, no recurrence has been noted clinically or radiologically. Imaging after mandibular reconstruction with a free fibular flap revealed satisfactory bony unions and mandibular contours. The patients achieved good aesthetic and functional results after the secondary implantation.
Mandibular reconstruction using a fibular osseous flap and secondary dental implantation can produce good functional and aesthetic results after segmental mandibulectomy for ameloblastoma.
Keywords: Ameloblastoma; Reconstructive Surgical Procedures; Fibula; Surgical flaps; Dental implantation
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 157 View
  • 0 Download

Maxilla reconstruction with free flap after total maxillectomy.1991 January;18(1)

Article category

Browse all articles >


Browse all articles >

Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-8252    Fax: +82-2-3472-4254    E-mail: apsedit@gmail.com                

Copyright © 2019 by Korean Society of Plastic and Reconstructive Surgeons. All rights reserved.

Developed in M2community

Close layer
prev next