The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review
Paget's bone disease is a rare disease affecting the skeleton, inducing deformity and weakness of the affected bones and involving the splanchnocranium in only 8–23 % of all cases. One of the most severe and uncommon complications is the malignant transformation into osteosarcoma, occurring in...
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| Language: | English |
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Elsevier
2024-06-01
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| Series: | Oral Oncology Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772906024003261 |
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| author | Olindo Massarelli Samira Bucelli Simone Benedetti |
| author_facet | Olindo Massarelli Samira Bucelli Simone Benedetti |
| author_sort | Olindo Massarelli |
| collection | DOAJ |
| description | Paget's bone disease is a rare disease affecting the skeleton, inducing deformity and weakness of the affected bones and involving the splanchnocranium in only 8–23 % of all cases. One of the most severe and uncommon complications is the malignant transformation into osteosarcoma, occurring in 1.4 % of all cases of Paget's disease and arising in the mandible in extremely rare cases, with only 18 reports described in the literature.The authors present a rare case of a large mandibular Paget's osteosarcoma in a female patient, highlighting the planning and surgical tips for surgical resection and hemimandibular reconstruction with a “boomerang” shaped osteo-myo-cutaneous (OMC) iliac crest flap. By taking advantage of the specific curvature and peculiar bone height of the OMC iliac crest flap, it was possible to restore good symmetry of the contour of the facial lower third, perfectly matching to the abnormal shape of the healthy hemimandible affected by Paget's disease. |
| format | Article |
| id | doaj-art-d1e0650ce001417d9d2984f5d8f825d7 |
| institution | Kabale University |
| issn | 2772-9060 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral Oncology Reports |
| spelling | doaj-art-d1e0650ce001417d9d2984f5d8f825d72025-01-09T06:16:28ZengElsevierOral Oncology Reports2772-90602024-06-0110100480The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature reviewOlindo Massarelli0Samira Bucelli1Simone Benedetti2Department of Maxillo-Facial Surgery, S. Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Vascular Surgery, S. Maria alle Scotte University Hospital of Siena, Siena, ItalyDepartment of Maxillo-Facial Surgery, S. Maria alle Scotte University Hospital of Siena, Siena, Italy; Corresponding author. Viale Mario Bracci 16, S. Maria alle Scotte University Hospital, Siena, Italy.Paget's bone disease is a rare disease affecting the skeleton, inducing deformity and weakness of the affected bones and involving the splanchnocranium in only 8–23 % of all cases. One of the most severe and uncommon complications is the malignant transformation into osteosarcoma, occurring in 1.4 % of all cases of Paget's disease and arising in the mandible in extremely rare cases, with only 18 reports described in the literature.The authors present a rare case of a large mandibular Paget's osteosarcoma in a female patient, highlighting the planning and surgical tips for surgical resection and hemimandibular reconstruction with a “boomerang” shaped osteo-myo-cutaneous (OMC) iliac crest flap. By taking advantage of the specific curvature and peculiar bone height of the OMC iliac crest flap, it was possible to restore good symmetry of the contour of the facial lower third, perfectly matching to the abnormal shape of the healthy hemimandible affected by Paget's disease.http://www.sciencedirect.com/science/article/pii/S2772906024003261Paget's osteosarcomaPaget's diseaseMandibular reconstructionHead and neck cancerIliac crest flap |
| spellingShingle | Olindo Massarelli Samira Bucelli Simone Benedetti The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review Oral Oncology Reports Paget's osteosarcoma Paget's disease Mandibular reconstruction Head and neck cancer Iliac crest flap |
| title | The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review |
| title_full | The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review |
| title_fullStr | The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review |
| title_full_unstemmed | The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review |
| title_short | The “Boomerang” iliac crest flap for hemimandible reconstruction in rare Paget's Osteosarcoma: Case report and systematic literature review |
| title_sort | boomerang iliac crest flap for hemimandible reconstruction in rare paget s osteosarcoma case report and systematic literature review |
| topic | Paget's osteosarcoma Paget's disease Mandibular reconstruction Head and neck cancer Iliac crest flap |
| url | http://www.sciencedirect.com/science/article/pii/S2772906024003261 |
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