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Open AccessCase Report

Non-Autogenous Innovative Reconstruction Method Following Mandibulectomy

1
Department of Oral and Maxillofacial Surgery, Rabin Medical Center—Beilinson Hospital, Petach Tikva, 4941492, Israel
2
Department of Oral and Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv; Head, Department of Oral and Maxillofacial Surgery, Rabin Medical Center—Beilinson Hospital, Petach Tikva, 4941492, Israel
3
Department of oral pathology, Rabin Medical Center—Beilinson Hospital, Petach Tikva, 4941492, Israel
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(7), 326; https://doi.org/10.3390/medicina56070326
Received: 15 June 2020 / Revised: 22 June 2020 / Accepted: 24 June 2020 / Published: 30 June 2020
(This article belongs to the Special Issue Oral Surgery – Minimizing Postoperative Morbidity)
Background: Plexiform ameloblastoma is a locally aggressive odontogenic tumor, rare in the anterior mandible. The treatment of choice is resection with 1–3 cm free margins. In most of reported cases, the affected mandible is reconstructed by autogenic bone graft or osseocutaneous microvascular free flap in order to return function and esthetics. Case description: A 2 cm diameter exophytic ameloblastoma, located in the anterior mandible of a 50-year-old male was resected and reconstructed in a unique manner—allogenic bone block, recombinant human bone morphogenetic protein (rhBMP) and xenograft particles via transcutaneous submental approach. After bone maturation, dental implants were placed and restored by fixed prosthetics. Practical implications: Mandible reconstruction modalities have a crucial influence on patient quality of life, function and esthetics. Allogenic bone block combined with rhBMP and xenograft particles can replace the traditional autogenous bone in certain circumstances. A submental transcutaneous “tent pole” approach can improve the success rate of the reconstruction procedure.
Keywords: ameloblastoma; mandible; bone block; allogenic; autogenic; rhBMP ameloblastoma; mandible; bone block; allogenic; autogenic; rhBMP
MDPI and ACS Style

Haj Yahya, B.; Rosenfeld, E.; Chaushu, G.; Kaplan, I.; Ben-Zvi, Y.; Hamzani, Y. Non-Autogenous Innovative Reconstruction Method Following Mandibulectomy. Medicina 2020, 56, 326.

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