Med Buccale Chir Buccale
Volume 23, Number 3, October 2017
|Page(s)||164 - 168|
|Section||Cas clinique et revue de la littérature / Up-to date review and case report|
|Published online||27 October 2017|
Up-to Date Review And Case Report
Ameloblastic fibrosarcoma of the mandible: case report and literature review
Maxillofacial Surgery and Stomatology Department, CHU Hôtel Dieu,
1 place Alexis Ricordeau,
2 Odontology Department, CHU Hôtel Dieu, 1 place Alexis Ricordeau, 44093 Nantes, France
3 Maxillofacial Surgery and Stomatology Department, Pole Santé Sud, 28 rue de Guetteloup, 72000 Le Mans, France
* Correspondence: firstname.lastname@example.org
Accepted: 27 April 2017
Introduction: Ameloblastic fibrosarcoma is a rare malignant odontogenic tumor. Over 50% reported cases have histological evidence of ameloblastic fibroma at the same site. The mortality rate of the tumor is 19% and its recurrence rate is 37%, which mandates a total resection along with long-term follow-up. Observation: We present the case of a 14-year-old male diagnosed with ameloblastic fibrosarcoma, who underwent multiple stages of treatments and was followed up over 8 years. The initial management consisted of a total tumor resection with chemoradiotherapy. Then, for bone, soft, mucosal, and dental restoration after resection, mandibular reconstruction with a fibula free flap, onlay iliac graft, iliac graft fixation, facial lipofilling treatments (two), vestibular deepening procedures (two), and implant-supported dental prosthesis were performed. Comments and conclusion: This is the first case reported in the literature for the global management of mandibular ameloblastic fibrosarcoma, from oncological treatment to functional and aesthetic long-term rehabilitation.
Key words: ameloblastic fibrosarcoma / facial reconstruction / dental implant
© The authors, 2017
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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