Total mandibular reconstruction after resection of rare “honeycomb-like” ameloblastic carcinoma – A case report
Received 9 May 2009; accepted 21 October 2009. published online 30 November 2009.
Summary
Purpose
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.
Conclusion
Ameloblastic carcinoma is a highly malignant lesion, which requires aggressive therapy. Prognosis is poor. Further reporting of ameloblastic carcinoma is encouraged.
ABSTRACT