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KMID : 0360120080300040386
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2008 Volume.30 No. 4 p.386 ~ p.394
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Reconstruction with a vascularized free iliac osteomuscular flap after hemimandibulectomy for osteosarcoma of the mandibular condyle region: a case report.
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Park Hong-Ju
Yu Min-Gi
Kook Min-Suk
Oh Hee-Kyun
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Abstract
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Osteosarcoma of the jaw is a rare malignant bone tumor which usually leads to a poor prognosis. It commonly occurs in young patients, especially in male. The tumor can involve mandible or maxilla with same frequency. The swelling in the involved area and facial deformity are common clinical findings. The pain and sensory changes are also complained by the patients. Although radical surgery plays an important role in the management of this tumor, the adjuvant chemotherapy or radiotherapy is used to enhance local control and to prevent distant metastases. We treated a 22-year-old male patient who had osteosarcoma in the left condylar region. The radical surgery which consisted of hemimandibulectomy and total parotidectomy, was done and an immediate mandibular reconstruction was performed with a vascularized free iliac osteomuscular flap. The obtained results, both esthetic and functional, were satisfactory. The patient was received postoperative chemotherapy. This is a case with reviews of the literatures.
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KEYWORD
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Osteosarcoma, Iliac osteomuscular flap
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