The gold standard for aggressive mandibular ameloblastomas, with exeresis margins higher than 6 cm, is immediate resection and reconstruction with autologous microvascularized bone graft. A controversy arises because the main reason to endorse this treatment relies on the blood supply for wide extensions of implanted bone. It is necessary in these cases to use a correct stabilization and attachment of the graft employing titanium reconstruction plates and to verify the absence of tissue undergoing radiotherapy. All of the above-mentioned elements are relevant for surgical success. In pediatric patients, the osseointegration and bone repair procedures benefit from physiological growth that entails the presence of multiple growth factors. The aim of this case report is to describe the management of mandibular ameloblastoma diagnosed in a pediatric patient and treated by resection and reconstruction with a non-vascularized 10 cm iliac crest graft thus achieving 3D bone neoformation of the reconstructed area.
KEY WORDS: pediatrics, autogenous nonvascularized bone graft, mandibular reconstruction.
How to cite this article
TAPIA, C. P.; ARRUÉ, D. P.; MORDOH, C. S.; REYES, A. C. & ROSENBERG, D. B. Neo bone formation of the mandibular branch and body after the use of a non-vascularized iliac crest graft in immediate reconstruction after resection of follicular ameloblastoma in an 11-year-old patient. Clinical case. Int. J. Odontostomat., 15(3):569-573, 2021.