J Korean Assoc Maxillofac Plast Reconstr Surg.  2008 Jul;30(4):386-394.

Reconstruction with a vascularized free iliac osteomuscular flap after hemimandibulectomy for osteosarcoma of the mandibular condyle region: a case report

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju, Korea. hkoh@chonnam.ac.kr
  • 22nd stage of Brain Korea 21, Korea.

Abstract

Osteosarcoma of the jaw is a rare malignant bone tumor which usually leads to a poor prognosis. It commonly occurs in young patients, especially in male. The tumor can involve mandible or maxilla with same frequency. The swelling in the involved area and facial deformity are common clinical findings. The pain and sensory changes are also complained by the patients. Although radical surgery plays an important role in the management of this tumor, the adjuvant chemotherapy or radiotherapy is used to enhance local control and to prevent distant metastases. We treated a 22-year-old male patient who had osteosarcoma in the left condylar region. The radical surgery which consisted of hemimandibulectomy and total parotidectomy, was done and an immediate mandibular reconstruction was performed with a vascularized free iliac osteomuscular flap. The obtained results, both esthetic and functional, were satisfactory. The patient was received postoperative chemotherapy. This is a case with reviews of the literatures.

Keyword

Osteosarcoma; Iliac osteomuscular flap

MeSH Terms

Chemotherapy, Adjuvant
Congenital Abnormalities
Humans
Jaw
Male
Mandible
Mandibular Condyle
Mandibular Osteotomy
Mandibular Reconstruction
Maxilla
Neoplasm Metastasis
Osteosarcoma
Prognosis
Young Adult
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