Segmental resection with primary reconstruction using patient- specific implant for odontogenic fibromyxoma: An illustrative rare case from Nepal.

ABSTRACT

INTRODUCTION: Odontogenic fibromyxoma (OFM) is a round and locally invasive neoplasm predominantly seen in the mandible. Though radiographic appearance is variable, definitive diagnosis is based on correlation with histopathological examination. Surgical approach is the treatment of choice. For reconstruction, patient-specific implant (PSI) has lately been developed as a crucial help. CASE PRESENTATION This case report presents a 19 year old female patient with odontogenic fibromyxoma highlighting its clinical, radiographic, histopathological features along with rehabilitation using patient specific implants reducing the complexity and related morbidities of reconstructive procedures. DISCUSSION: Surgical repair and reconstruction of defects in cranio-maxillofacial region is challenging. The described treatment eliminates the need for bone grafting, shows optimal results owing to the shorter rehabilitation time and more accurate fits. CONCLUSION: This report introduces a novel technique whereby patient-specific implants are employed as the primary method of reconstruction following segmental resection.