Los tumores odontogénicos son neoplasias benignas atípicas con un alto potencial de agresividad que derivan del tejido odontogénico embrionario. La resección de estos tumores implica la extracción de una parte del rostro, lo que puede requerir una reconstrucción. La reconstrucción microquirúrgica con el colgajo osteocutáneo de peroné es la técnica más recomendada en estos casos. Se presenta el caso de una paciente mujer de 14 años con crecimiento progresivo de una tumoración en el rostro, que llegó a dificultar la deglución y la vocalización, además de ocasionar sangrado intermitente por la boca. Decidida la resección del tumor, se realizó la planificación prequirúrgica virtual y el modelado de impresión tridimensional a partir de datos tomográficos, lo que permitió una reconstrucción más precisa. El abordaje fue una hemimandibulectomía izquierda, seguida de l...

Introducction: mandible reconstruction, an important area within heat and neck surgery, is atopic with constant innovation with plenty of debate and scientific contributions that allow physicians to have adequate therapy for extensive tumors that may leave aesthetic and functional sequels.Clinical cases. The cases that underwent a large surgical resection and required a microsurgical fibula free flap for a mandible tumor were reviewed between January 2004 to August 2008; by the Head, Neck and Maxillofacial Surgery department at the National Pediatric Health Institute. Four cases were taken part in the study period; with same quantity of cases for males and females. With ages between 2 and 17 years, and an average of 11.2 years. The four cases were from the inner states of Peru (Piura, Tumbes, Cajamarca and Junín). We present mandible resections as long as 15 cm for one side. A...

Introducction: mandible reconstruction, an important area within heat and neck surgery, is atopic with constant innovation with plenty of debate and scientific contributions that allow physicians to have adequate therapy for extensive tumors that may leave aesthetic and functional sequels.Clinical cases. The cases that underwent a large surgical resection and required a microsurgical fibula free flap for a mandible tumor were reviewed between January 2004 to August 2008; by the Head, Neck and Maxillofacial Surgery department at the National Pediatric Health Institute. Four cases were taken part in the study period; with same quantity of cases for males and females. With ages between 2 and 17 years, and an average of 11.2 years. The four cases were from the inner states of Peru (Piura, Tumbes, Cajamarca and Junín). We present mandible resections as long as 15 cm for one side. A...