Abstract

A 25-year-old male patient was referred with a complaint of increased facial volume. Clinical examination revealed an intra-oral and extra-oral volume increase in the posterior region of the right side of the mandible, with a hard consistency and without painful symptomatology. Radiographic examination demonstrated a multilocular, radiolucent lesion with an image suggestive of an ameloblastoma. Histopathologic examination confirmed the diagnostic hypothesis. Faced with the complexity of the case, a total computerized tomography of the face was performed to observe in detail the area of the lesion as well as to make a stereolithographic model to facilitate the surgical planning and a preoperative adaptation of the reconstruction plate. Surgical treatment was performed through resection with extra-oral access, and the reconstruction plate was installed, showing a perfect adaptation and drastically reducing the surgical time. After 1 year of follow-up the patient shows no signs of relapse.

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