title: Immediate free flap mandibular reconstruction in osteosarcoma of the mandible in childhood.
abstract: Mandibular osteogenic sarcoma (OS) is a very rare entity in childhood. Adequate surgical rejection with a wide margin of normal tissue is the mainstay of treatment of this site, while the role of adjuvant chemotherapy remains uncertain. A case is presented of a 15 1/2-year-old male with a huge OS of the mandible. The boy underwent surgical resection of the mandible with immediate fibula free flap reconstruction and is alive and free of disease 6 1/2 years following unitial diagnosis. This case suggests that immediate bone reconstitution with vascularized grafts have good functional and morphological results for osteosarcoma of the lower jaw.
authors.affiliation: Department of Pediatric Hematology/Oncology, University Hospital of Heraklion, Crete, Greece.
authors.forename: E
authors.initials: E
authors.lastname: Lydaki
authors.forename: I
authors.initials: I
authors.lastname: Bolonaki
authors.forename: E
authors.initials: E
authors.lastname: Stiakaki
authors.forename: A
authors.initials: A
authors.lastname: Kambourakis
authors.forename: P B
authors.initials: PB
authors.lastname: Cordeiro
authors.forename: P A
authors.initials: PA
authors.lastname: Meyers
authors.forename: G
authors.initials: G
authors.lastname: Delides
authors.forename: P
authors.initials: P
authors.lastname: Hatzimanolis
authors.forename: M
authors.initials: M
authors.lastname: Kalmanti
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008334:Mandible / Q000473:pathology* / Q000601:surgery*; D012516:Osteosarcoma / Q000601:surgery*; D019651:Plastic Surgery Procedures