Delayed mandibular reconstruction following removal of a XXXX . Report of a case.

@entity1 @entity11262 @entity1346 @entity421 @entity81
An unusual case of @entity11262 is presented. Initially seen when the @entity1 was 8 years old, the lesion was repeatedly biopsied and curetted with a diagnosis of odontogenic @entity81 . In 1971 a diagnosis of @entity421 of the chondroblastic type was made. At that time, the @entity1 underwent a partial mandibulectomy with immediate graft. The @entity1 did well until 1981, when a recurrence of the lesion was noted. The microscopic diagnosis at this time was @entity11262 . The treatment of this lesion as a staged procedure with initial resection of the mandible and placement of a @entity1346 rubber mandibular prosthesis is discussed. The second stage of the procedure was definitive mandibular reconstruction, with an allogeneic mandible as a crib for autologous particulate cancellous bone from the iliac crest. Although the prognosis of @entity11262 is usually grave, this case is unusual because of its long history of multiple procedures performed prior to the definitive treatment of the lesion 14 years after its discovery. Two-year follow-up since the definitive mandibular reconstruction shows adequate range of motion, excellent healing, and no recurrence.
