Cemento-ossifying Fibroma Resection and Reconstruction with Vascularized Fibula Bone Graft in Mandible : A Case Report
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Abstract
Cemento-ossifying fibromas are benign odontogenic tumors and classified as fibro-osseous lesion. Most of them are diagnosed in the third to fourth decade of life, with predilection for female population and for the mandibular premolar-molar area. Typically, patients are asymptomatic. Radiographic features can be seen as radiolucent or radiopaque mass, depending on staging of the tumor. Histologically, found fibrous connective tissue with woven bone and cementum-like structure was found. Differential diagnosis requires clinical features combined with radiographic and histopathological features. This article reports a case study of a 50-year-old patient with a large cemento-ossifying fibroma of the mandible. The patient was treated by segmental mandibulectomy and reconstruction with vascularized fibula bone graft and titanium miniplates and screws, by microvascular surgery. In the 8-months follow-up, normal bone healing was revealed with no any recurrence.
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