She eventually underwent right hemimandibulectomy
, application of maxillomandibular fixation, and application of rigid internal fixation including condylar head prosthesis for reconstruction of the right hemimandibulectomy
Excision and hemimandibulectomy
were performed in 2011 with simultaneous reconstruction by a FRF of the iliac crest.
Extraction of 74, 34 and hemimandibulectomy
of the left mandible was carried out.
A clinical diagnosis of Ameloblastoma was made and the patient was operated with Left side hemimandibulectomy
with reconstruction of mandible with bone grafting from Iliac crest and the specimen was sent for histopathological examination.
Properly resected surgical specimens such as punch biopsies, incisional biopsies, wedge biopsies, surgical excision, and hemimandibulectomy
are included in the study.
All six patients spontaneously regenerated large segments of the mandible from full-body ostectomy to hemimandibulectomy
In the case of Mr S, five procedures were planned for, including right hemimandibulectomy
, selective neck dissection, fibular free flap reconstruction, pectoralis major flap reconstruction and tracheostomy.
(7-8) After consultation with surgeons and oncologists, treatment in this case would have required bilateral hemimandibulectomy
, radiation therapy, or both.
Spontaneous regeneration of a large portion of the mandible had been reported after subtotal mandibulectomy ot hemimandibulectomy
. The factors favoring the new bone regeneration are age of the patients, preservation of the periosteum, absence of infection and decreased tension in the bone.
41 years before, the diagnosis of a benign odontogenic tumor led to a right hemimandibulectomy
with deferred reconstruction (1 year) based on a free iliac crest graft.
In patients with hemimandibulectomy
the stabilization was done only from one side.
Therefore, the patient underwent a left hemimandibulectomy
. No evidence of recurrence was noted during a 9-month follow-up period.