PMC9450615_01
Mandible CT scan, showing the ameloblastoma destroying part of the mandibular cortical bone.. Figure 1b. Intraoperative photograph, with submandibular access showing mandibular cortical bone erosion caused by the ameloblastoma, notice the exposed mandibular nerve.. Figure 1c. Intraoperative photograph, showing osteosynthesis with titanium plates and screws.. Figure 1d. Intraoperative photography (8 months after the graft), showing complete graft integration.
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PMC9450615_01_gr1.jpg
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On CT scan we could better assess the tumor size and cortical bone perforation (Figure 1a). Under general anesthesia, we assessed the submandibular area and exposed the lesion (Figure 1b). In order to help keep the graft in position, we installed two more of the 1.5mm system plates with mono-cortical screws near the mandibular crest (Figure 1c). Eight months after surgery, the patient underwent a new procedure to receive bone-integrated implants with complete graft integration (Figure 1d), thus allowing for a complete oro-facial rehabilitation, both cosmetically and functionally.