Total mandibular reconstruction after resection of rare "honeycomb-like" ameloblastic carcinoma--a case report.
OBJECTIVE
This case report describes a rare and aggressive ameloblastic carcinoma that infiltrated the mandible in a "honeycomb" pattern.


METHODS
A total mandibulectomy with bilateral modified neck dissection was followed by primary reconstruction with a single free vascularised fibula flap.


RESULTS
The postoperative course was uneventful. The one year follow-up revealed no signs of recurrent tumour or metastases. Nine months later distant metastases occurred in the lung.


CONCLUSIONS
Ameloblastic carcinoma is a highly malignant lesion, which requires aggressive therapy. Prognosis is poor. Further reporting of ameloblastic carcinoma is encouraged.
Jeremic
Jelena V
JV
Clinic for Burns, Plastic and Reconstructive Surgery, Clinical Centre of Serbia, Belgrade, Serbia.
Nikolic
Zivorad S
ZS
Boricic
Ivan V
IV
Tacevic
Zoran D
ZD
Tomanovic
Nada R
NR
Drcic
Lazar J
LJ
Novkovic
Milijanka D
MD
D001158:Arteries / Q000601:surgery; D001860:Bone Plates; D016025:Bone Transplantation; D005145:Face / Q000098:blood supply; D017809:Fatal Outcome; D005360:Fibula / Q000601:surgery; D006801:Humans; D007601:Jugular Veins / Q000601:surgery; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000473:pathology / Q000534:rehabilitation / Q000601:surgery*; D008875:Middle Aged; D037981:Neck Dissection; D009361:Neoplasm Invasiveness; D009808:Odontogenic Tumors / Q000473:pathology / Q000534:rehabilitation / Q000556:secondary / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply