Complications of mandibular reconstruction in childhood: Report of a case of Juvenile Aggressive Fibromatosis.
Juvenile aggressive fibromatosis is an acquired disease affecting young children. There are two types: superficial and deep; the first is not aggressive whilst the second invades other tissues deeply. This is a case report of the deep variant of juvenile aggressive fibromatosis of the lateral mandible affecting a 24-month-old young female patient. The tumour has been treated surgically by resection of the mandible and reconstruction with a rib-graft. To by-passs resorption of the rib-graft and to re-establish the correct three-dimensional shape of the facial skeleton, osteodistraction of the reconstructed mandible was performed six months post-peratively. In this article the surgical techniques to reconstruct the mandible in young children are discussed.
Department of Maxillofacial Surgery, University of Sassari, Italy. gderiu@uniss.it
Giacomo
G
De Riu
Silvio Mario
SM
Meloni
Maria Teresa
MT
Raho
Antonio
A
Tullio
D001862:Bone Resorption / Q000000981:diagnostic imaging / Q000601:surgery*; D002675:Child, Preschool; D005146:Facial Asymmetry / Q000209:etiology; D005260:Female; D018222:Desmoid Tumors / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D012272:Ribs / Q000637:transplantation; D013997:Time Factors; D016896:Treatment Outcome