Reconstruction of large ameloblastoma crossing midline with free fibula flap- A case report

Abstract

Ameloblastoma is the second most common odontogenic tumor of the oral cavity with the primary site being the mandible. It affects more the mandible than the maxilla. The most common complaint is a painless swelling over the mandibular area. Despite its benign nature, ameloblastoma has a high local recurrence rate, with the most recurrences seen within 5 years after operation. Biopsy and radiological evaluation is mandatory. Although this tumor is benign, because of its behavior it is locally aggressive and requires the most often surgical resection. In our case, a male 36-year old reported with ameloblastoma crossing the mid- line. Ameloblastoma was confirmed on radiographic and biopsy report. The lesions crossing the mid-line made the reconstruction more challenging. As taking into consideration the advantages of free fibula flap, our reconstruction was planned using the same flap.