This is a case report of calcifying aponeurotic fibroma occurred in the right pterygopalatine fossa & ramus area accompanied by adenoid cystic carcinoma of the right sublingual gland of a 44-year-old female.
Calcifying aponeurotic fibroma is benign tumor, but it is characterized by poorly marginated, infiltrated growth pattern and a stubborn tendency to local recurrence, but there is no record of malignant transformation or metastasis, and surgical
management should be conservative(excision and reexcision).
Most cases been reported at the hands and feet, but no reported case occuring in the head region is found in the literature.
Adenoid cystic carcinoma is a slow-growing infiltrative tumor with high recurrence rate, and it's treatment requires radical excisin and radiotherapy.
Wide surgical excision of tumor, RND and partial resection of mandible were done.
And then, immediate mandibular reconstruction was performed by means of reimplantaion technique after autoclaving of the resected bone.
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