Abstract
Ameloblastomas are benign tumors of the jaws and account for 80% of odontogenic tumors. Ameloblastomas can be very aggressive and lead to dysfunction, such as facial asymmetry. To minimize recurrence, segmental mandibulectomy is more efficient, but it carries high morbidity. We present a case of a 12-year-old male patient who was referred to the Oral and Maxillofacial Surgery unit with swelling of the left mandible. Histologic examination confirmed the diagnosis of multicystic ameloblastoma. Computed tomography showed a multilocular radiolucent lesion, 5.99 cm long and 4.52 cm wide on sagittal view. The patient underwent a segmental mandible resection with a microvascularized fibula graft fixed by a 2.7-mm reconstruction plate. At 6-month follow-up, the patient has good mouth opening, a satisfactory lower jaw shape, and no pain. Microvascularized grafts are the gold standard for rehabilitation after ameloblastoma resection because they restore function and aesthetics.
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