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BMJ Case Rep ; 13(12)2020 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-33372024

RESUMO

Ossifying fibroma (OF) is a rare, benign, fibro-osseous lesion of the jawbone characterised by replacement of the normal bone with fibrous tissue. The fibrous tissue shows varying amount of calcified structures resembling bone and/or cementum. The central variant of OF is rare, and shows predilection for mandible among the jawbone. Although it is classified as fibro-osseous lesion, it clinically behaves as a benign tumour and can grow to large size, causing bony swelling and facial asymmetry. This paper reports a case of large central OF of mandible in a 40-year-old male patient. The lesion was treated by segmental resection of mandible. Reconstruction of the surgical defect was done using avascular fibula bone graft. Role of three-dimensional printing of jaw and its benefits in surgical planning and reconstruction are also highlighted.


Assuntos
Fibroma Ossificante/cirurgia , Neoplasias Mandibulares/cirurgia , Adulto , Assimetria Facial/etiologia , Fibroma Ossificante/complicações , Fibroma Ossificante/diagnóstico , Fibroma Ossificante/diagnóstico por imagem , Fíbula/transplante , Humanos , Imageamento Tridimensional , Arcada Osseodentária/anatomia & histologia , Masculino , Neoplasias Mandibulares/complicações , Neoplasias Mandibulares/diagnóstico , Neoplasias Mandibulares/diagnóstico por imagem , Procedimentos Cirúrgicos Ortognáticos , Impressão Tridimensional , Tomografia Computadorizada por Raios X
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