Abstract
We describe a 10-year-old girl with juvenile ossifying fibroma arising at the right side of the mandible. The lesion had recurred about 2 years after tumor extirpation and bone currettage. Segmental mandibulectomy was performed. For secondary reconstruction of the mandible, a vascularized calvarial bone graft was planned, because this bone graft has an appropriate shape and outline and because the surgical wound is covered by hair.During the operation, a full-thickness calvarial bone flap, measured 3×7cm, with the temporal muscle, temporal fascia, innominate fascia, and superficial temporal artery as a pedicle was designed.The postoperative course was uneventful. Three days after the operation, Tc bone scintigraphy was performed and demonstrated good uptake of Tc by the bone graft. One month after the operation, intermaxillary fixation was removed, and the patient was discharged.Seven years 3 months after reconstructive surgery, the patient is disease free and is satisfied with both appearance and function, including mastication.
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