Repair of Loss of Substances of Mandibular Ramus by a Microanastomosis of Fibula Flap: About A Case
Hacene Hammoud
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Laurent Guyot
Maxillofacial Surgery / Facial Plastic Surgery / Oral Surgery Hôpital de la Conception, Marseille, France.
Hichem Benaissa
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Wassim Belferrag
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Ayoub Chahrour
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Morsli Youcef
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Yacine Betam
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Hamza Lekbir
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Adel Guidoum
Maxillofacial / Restorative and Aesthetic Surgery Department, Central Hospital of the Army (Doctor Mohamed Seghir Nekkache), Algiers, Algeria.
Nora Mimoune
High National Veterinary School (HNVS), Bab-Ezzouar, Algiers, Algeria. and Institute of Veterinary Sciences, Laboratory of Biotechnology Related to Animal Breeding (LBRA), University Saad Dahleb, BP: 270, Soumaa road, Blida, Algeria.
Mohamed Yassine Azzouz *
High National Veterinary School (HNVS), Bab-Ezzouar, Algiers, Algeria.
*Author to whom correspondence should be addressed.
Abstract
Tumors of the cervico-facial region are frequent and their diagnosis is often made at a late stage. Their wide surgical excision leaves often a loss of substances with functional and aesthetic repercussions, difficult to repair by local or pedicle flaps. The use of micro-anastomosed flaps that meet functional and aesthetic imperatives is recommended. In the current study, we report a case of a benign tumor of the Mandibular Ramus in a young patient. The radio-clinical examination was in favor of a benign tumor of the ascending branch of the mandible with invasion of the cortices in places. Histological observation confirmed the nature of this tumor (Keratocyst). The surgical excision required an interruptive resection of the mandibular ramus. Functional (ATM dysfunction and lateral mandibular deviation), and esthetic consequences (left genic depression) were marked. Hence, the use of a micro-anastomosed flap of the fibula (fibula) for the repair of this bone defect should be made.
Keywords: Tumor, mandibular ramus, ; microanastomosed flap, loss of substances, repair, fibula.