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206. Solitary plasmocytoma of the mandible--a combined approach for treatment and reconstruction.

Author Millesi W, Enislidis G, Lindner A, Schobel G, Ewers R, Drach J, Rath T. Clinic for Oral and Maxillofacial Surgery, University of Vienna, Austria.

Source Int J Oral Maxillofac Surg 1997 Aug;26(4):295-8

Abstract A 44-year-old man presented with a solitary plasmocytoma in the left mandible. After neoadjuvant radiation therapy and chemotherapy, a bone marrow biopsy was taken for cryopreservation. In simulation surgery, tumour resection and primary reconstruction were planned on an individual stereolithographic 3-D skull model. Radical tumour resection and primary reconstruction using a microvascular iliac crest bone graft was performed. In case of extensive osteolysis and/or mandibular asymmetry due to tumourous bone enlargement, preoperative model planning has proved to be a useful tool for primary reconstruction. In the three-year follow up, the patient showed no recurrence of disease. (Auth abstract)XX




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