Odontogenic tumors are atypical benign neoplasms with a high potential for aggressiveness, originating from embryonic odontogenic tissue. Resection of these tumors involves the removal of part of the face, which may require reconstruction. Microsurgical reconstruction using the fibula osteocutaneous free flap is the most recommended technique in these cases. We present the case of a 14-year-old female patient with progressive growth of a facial tumor that resulted in difficulty swallowing and speaking, as well as intermittent oral bleeding. After deciding on tumor resection, virtual preoperative planning and three-dimensional printing modeling based on tomographic data were performed to enable a more precise reconstruction. The surgical approach consisted of a left hemimandibulectomy followed by microsurgical reconstruction with a fibula free flap. The postoperative course was favorable,...

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...