Reconstrução mandibular através de enxerto microvascularizado de fíbula após ressecção de ameloblastoma: relato de caso.

Abstract

The microvascularized graft proves to be a viable surgical technique in mandibular reconstructions, especially for cases of large bone defects. Its greatest advantage isto offer large bone quantities, in addition to allowing posterior dental rehabilitation with a lower failure rate. Certainly, this procedure requires multidisciplinary treatment, detailed knowledge by the maxillofacial surgeon of the surgical techniques and their possible complications. So it is an effective method, which manages to treat an aggressive pathology of great extension and very difficult reconstruction. Thisstudy aimed to outline, through a clinical case report, a mandibular reconstruction in a patient with ameloblastoma through a microvascularized fibular graft, in a hospital environment through resection ofsuch benign neoplasm. The lesion was resected using a single-stage microvascularized fibular graft. Currently, the patient is in a 4-year postoperative period without recurrences or complaints, satisfied with the result. Thus, the treatment of choice for this type of injury is radical surgery. For the rehabilitation of patients, the ideal is that the defect is filled as soon as possible, returning the anatomy and avoiding sequelae on the face. The microvascularized graft is more predictable when compared to free grafts and other modalities.