Mandibular replacement with a customized titanium prosthesis after ameloblastoma excision

Authors

  • Juan Guillermo Sánchez Acuña Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología “Raúl González Sánchez”, Departamento de Cirugía. La Habana, Cuba. https://orcid.org/0000-0001-8195-0806
  • Orlando Hernández Feria Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología “Raúl González Sánchez”, Departamento de Cirugía. La Habana, Cuba. https://orcid.org/0000-0002-0062-816X
  • Yadira Hernández Díaz Hospital Universitario Clínico Quirúrgico “General Calixto García”. La Habana, Cuba. https://orcid.org/0000-0003-1551-5608
  • Alis Acosta Rodríguez Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología “Raúl González Sánchez”, Departamento de Cirugía. La Habana, Cuba. https://orcid.org/0000-0001-5021-8786

Keywords:

odontogenic neoplasms, ameloblastoma, mandibular reconstruction, titanium prosthesis.

Abstract

Introduction: Ameloblastoma is a benign tumor of odontogenic epithelium with a tendency to local recurrence if not removed appropriately. Reconstruction alternatives include the use of microvascularized free flaps, plates and customized titanium prostheses.

Objective: Describe a case of mandibular replacement with a customized titanium prosthesis after ameloblastoma excision.

Case presentation: A case is presented of a female 44-year-old patient who presented a radiographic finding during pulporadicular treatment of tooth 37. Facial physical examination found an increase in volume in the left genian region, and intraoral observation detected expansion of the corticals in the lower posterior arch of the same side. Panoramic radiography and computed axial tomography showed a multilocular radiolucid image resembling soap bubbles which extended from the mandibular body to the left condyle. A sample was taken for biopsy, which confirmed the diagnosis of follicular pattern ameloblastoma. Segmental mandibular surgery was performed by cervical approach with a safety margin and exarticulation. The portion removed was replaced with a customized titanium prosthesis. Post-operative control showed a good evolution.

Conclusions: Surgery was the basic component of the treatment applied. Surgical resection was followed by reconstruction of the defect with a customized titanium prosthesis, a procedure of great novelty in our environment useful to restore function and esthetic appearance.

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Author Biographies

Juan Guillermo Sánchez Acuña, Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología “Raúl González Sánchez”, Departamento de Cirugía. La Habana, Cuba.

Especialista de 2do grado en Cirugía Maxilofacial. Profesor Auxiliar

Orlando Hernández Feria, Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología “Raúl González Sánchez”, Departamento de Cirugía. La Habana, Cuba.

Especialista de 1er grado en EGI. Residente de 3er año de Cirugía Maxilofacial. Profesor Asistente.

Yadira Hernández Díaz, Hospital Universitario Clínico Quirúrgico “General Calixto García”. La Habana, Cuba.

Especialista de 1er grado en Cirugía Maxilofacial

Alis Acosta Rodríguez, Universidad de Ciencias Médicas de La Habana, Facultad de Estomatología “Raúl González Sánchez”, Departamento de Cirugía. La Habana, Cuba.

Especialista de 1er grado en Cirugía Maxilofacial. Profesor Asistente

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Published

2021-09-30

How to Cite

1.
Sánchez Acuña JG, Hernández Feria O, Hernández Díaz Y, Acosta Rodríguez A. Mandibular replacement with a customized titanium prosthesis after ameloblastoma excision. Rev Cubana Estomatol [Internet]. 2021 Sep. 30 [cited 2025 Mar. 13];58(3):e3172. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/3172

Issue

Vol. 58 No. 3 (2021): JUL- SEPT

Section

Case Report

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