Mandibular ossifying fibroma: resection and reconstruction with iliac crest graft using virtual planning – A case report
Abstract
Objetive: Ossifying fibroma is a benign bone neoplasm that predominantly affects the mandible and is classified as a fibroosseous lesion. Although generally asymptomatic, it can present with symptoms such as edema, paresthesia, and pain due to the destruction of the mandibular architecture.
Case Report: This report presents the case of a 47-year-old patient with a recurrent mandibular ossifying fibroma subjected to resection and reconstruction with a bone graft of the iliac crest. Initially, the patient was treated with enucleation and curettage, but the lesion recurred after eight years. Upon reevaluation, imaging revealed a well-defined mixed radiopaque lesion extending along the mandibular body. Histopathological examination confirmed the diagnosis of ossifying fibroma. Given the recurrence and size of the lesion, a more radical approach was chosen, including segmental resection and reconstruction using a custom-made iliac crest graft.
The entire procedure was meticulously planned using virtual surgical planning, allowing for precise resection and reconstruction, minimizing surgical time and improving outcomes. The postoperative recovery was favorable, with excellent aesthetic and functional results. Complete resection, rather than curettage, and the appropriate use of bone grafts are essential to minimize recurrence and ensure proper recovery.
Conclusions: Long-term surveillance is crucial to detect and manage any early recurrence, thus ensuring a favorable prognosis for the patient.
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