Giant cell tumour (central giant cell lesion) of the maxilla.
The giant cell tumour (GCT) is a benign, locally invasive lesion that accounts for about 20% of benign bone tumours. Approximately 2% of all GCTs arise in the head and neck region. Giant cell lesions in the craniofacial skeleton other than the jaws are uncommon; the majority of them occur in the sphenoid, ethmoid and temporal bones. GCT of the maxilla has seldom been described. We present the case of an 83-year-old patient with an advanced GCT of the left maxilla who underwent en bloc resection through maxillectomy. Reconstruction of the orbitary frame and maxilla was performed with autologous calvaria and a temporalis muscle pedicled flap. Our successful maxillary reconstruction based on the association between autologous calvarial bone sticks bent with titanium miniplates and a temporalis muscle pedicled flap allowed the involvement of only one donor area for both hard and soft tissues. At 1-year follow-up, our patient showed no evidence of recurrent GCT, with satisfactory aesthetic results.
Marioni
Gino
G
Department of Otolaryngology Head Neck Surgery, University of Padova, Italy. g_marioni@virgilio.it
Marchese-Ragona
Rosario
R
Guarda-Nardini
Luca
L
Stramare
Roberto
R
Tognazza
Elia
E
Marino
Filippo
F
Staffieri
Alberto
A
D000369:Aged, 80 and over; D018212:Giant Cell Tumor of Bone / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008297:Male; D008441:Maxillary Neoplasms / Q000175:diagnosis* / Q000601:surgery*