Solitary plasmocytoma of the mandible--a combined approach for treatment and reconstruction.
A 44-year-old man presented with a solitary plasmocytoma in the left mandible. After neoadjuvant radiation therapy and chemotherapy, a bone marrow biopsy was taken for cryopreservation. In simulation surgery, tumour resection and primary reconstruction were planned on an individual stereolithographic 3-D skull model. Radical tumour resection and primary reconstruction using a microvascular iliac crest bone graft was performed. In case of extensive osteolysis and/or mandibular asymmetry due to tumourous bone enlargement, preoperative model planning has proved to be a useful tool for primary reconstruction. In the three-year follow up, the patient showed no recurrence of disease.
Millesi
W
W
Clinic for Oral and Maxillofacial Surgery, University of Vienna, Austria.
Enislidis
G
G
Lindner
A
A
Schobel
G
G
Ewers
R
R
Drach
J
J
Rath
T
T
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001853:Bone Marrow / Q000473:pathology; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D017024:Chemotherapy, Adjuvant; D015925:Cryopreservation; D005146:Facial Asymmetry / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000601:surgery*; D008866:Microsurgery; D008953:Models, Anatomic; D010014:Osteolysis / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods; D010347:Patient Care Planning; D010954:Plasmacytoma / Q000601:surgery*; D011879:Radiotherapy Dosage; D018714:Radiotherapy, Adjuvant