Mandibular Reconstruction Using Costochondral Rib Graft In A Growing Patient: 3 Years 9 Months Follow Up.

Abstract

Unicystic ameloblastoma refer to those cystic lesions that show clinical, radiographic, or gross features of a mandibular cyst, but on histologic examination they show a typical ameloblastomatous epithelium lining part of the cyst cavity, with or without luminal and/or mural tumor growth. Due to its strong likelihood of recurrence, curettage or mass excision without a safety margin is not recommended for the treatment. The goal of treatment ameloblastoma is to achieve complete excision and appropriate reconstruction. Mandibular reconstruction after resection is essential for the restoration of function and cosmesis, particularly in children. Costochondral grafts have been used for many years in reconstruction of TMJ and mandible. This is a report on unicystic ameloblastoma in a 12 year old patient treated by resection and reconstructed with costochondral graft and followed up for 3 years 9 months.