Summary
The majority of the paediatric oral and maxillofacial tumours are benign and the mandible
is involved in one-third of these cases. A review of the literature reveals only a
handful of studies pertaining exclusively to benign paediatric mandibular tumours.
The basis of this study was to fulfil the need to assess the suitability of major
mandibular reconstructions using a vascularised fibular graft in cases of benign tumours
in children. From April 1999 to April 2011 we have managed 18 cases of benign paediatric
mandibular tumours. All the reconstructions were done using vascularised fibular graft.
The age of these patients ranged from 8 to 16 years. The most common pathology seen
in our series was Ameloblastoma, followed by Giant Cell Granuloma and vascular malformation.
Other cases included fibrous dysplasia, aneurysmal bone cyst and odontogenic myxoma.
Five of these were recurrent lesions. The mean length of the fibula harvested was
12 ± 2 cm. All the flaps in this series survived. Bone union occurred in all cases
by 6 weeks. All the patients have maintained a satisfactory chin contour of the mandible
during the follow-up period with minimal distortion occurring secondary to contralateral
native mandibular growth in two cases. We conclude that, for benign paediatric mandibular
tumours requiring major bone resection, the vascularised fibula is an excellent reconstructive
option with the advantages of having a good bone stock, possibility for osteotomy,
long pedicle length and potential for growth along with the possibility of dental
rehabilitation.
Keywords
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Article info
Publication history
Published online: August 13, 2012
Accepted:
July 9,
2012
Received:
November 9,
2011
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
