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KMID : 0360120090310050419
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2009 Volume.31 No. 5 p.419 ~ p.424
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Distraction osteogenesis followed by implant installation on the reconstructed mandible with a free iliac bone graft in a odontogenic mandibular myxoma patient
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Lim Hun-Jun
Min Seung-Ki
Paeng Jun-Young
Lee Jong-Bok
Lee Dae-Jeong
Kim Moon-Seob
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Abstract
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Odontogenic myxoma, a rare tumour that occurs in the jaws, locally invasive, destructive tumors that do not metastasize to lymph nodes. Large odontogenic myxoma on mandible is treated by mandibulectomy, defected mandible is reconstructed by bone graft. Reconstructed mandible is difficult to reconstruct dentition using implant because of deficiency of bone amount. So it is necessary to additional bone graft. But a poor aspect of soft tissue lead to unsatisfactory result. Because of distraction osteogenesis is possible to reconstruction of an amount of bone and soft tissue, that is advantage to reconstruction of alveolar bone on reconstructed mandible. We report with review of literatures the 25 years old male patient who had odontogenic myxoma in left mandible, was undergone mandibulectomy and successfully implant installation and prosthetic restoration after distraction osteogenesis(Track , KLS Martin, Germany) on the reconstructed mandible with a free iliac bone graft, and we have conservative and successful result.
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KEYWORD
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Odontogenic myxoma, Iliac bone graft, Alveolar distraction osteogenesis
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