title: Chondromyxoid fibroma of the mandible in an adolescent: case report and microsurgical reconstructive option.
abstract: Chondromyxoid fibroma is a rare bony tumor that usually presents in the lower extremities of middle-aged adults. Involvement of the craniofacial skeleton is extremely rare. We present the unique case of an adolescent boy with a chondromyxoid fibroma of the mandible. The chondromyxoid fibroma in this patient recurred after initial treatment with curettage. We treated the recurrence with resection of the involved mandible and immediate reconstruction using a vascularized musculo-osseus seventh rib flap ("Eve procedure"). Despite complex reconstruction in adolescents due to skeletal immaturity, the rib flap has successfully grown with the patient up to 3 years postoperatively. Therefore, we believe the musculo-osseus rib flap is a feasible solution for complex ramus and condyle reconstruction of the growing mandible in the adolescent patient.
authors.forename: Rohit K
authors.initials: RK
authors.lastname: Khosla
authors.forename: Christine
authors.initials: C
authors.lastname: Nguyen
authors.forename: Anna H
authors.initials: AH
authors.lastname: Messner
authors.forename: H Peter
authors.initials: HP
authors.lastname: Lorenz
mesh_terms: D000293:Adolescent; D059925:Anatomic Landmarks; D002812:Chondroma / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012272:Ribs / Q000637:transplantation*; D014057:Tomography, X-Ray Computed
keywords: adolescent; chondromyxoid fibroma mandible; microsurgical reconstructive option