title: Giant cell tumour (central giant cell lesion) of the maxilla.
abstract: 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.
authors.affiliation: Department of Otolaryngology Head Neck Surgery, University of Padova, Italy. g_marioni@virgilio.it
authors.forename: Gino
authors.initials: G
authors.lastname: Marioni
authors.forename: Rosario
authors.initials: R
authors.lastname: Marchese-Ragona
authors.forename: Luca
authors.initials: L
authors.lastname: Guarda-Nardini
authors.forename: Roberto
authors.initials: R
authors.lastname: Stramare
authors.forename: Elia
authors.initials: E
authors.lastname: Tognazza
authors.forename: Filippo
authors.initials: F
authors.lastname: Marino
authors.forename: Alberto
authors.initials: A
authors.lastname: Staffieri
mesh_terms: 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*