Carlos Juan Puig Gonzalez, Lilian Georgina Torralbas Buitrago, Arnelis Saragoza Exposito, Karen Barroso Rodriguez, Catherine Barroso Rodriguez, Otto Alemán Miranda*

Private Practice, USA

*Corresponding Author: Otto Alemán Miranda, Private Practice, USA.

Received: February 25, 2025; Published: March 09, 2025

Abstract

Introduction: This case describes a 62-year-old female patient with a 10-year history of habitual Catha edulis use, presenting with a verrucous lesion on the inner buccal mucosa, suspected to be a malignant neoplasm.

Objective: To document the diagnostic and therapeutic approach to a well-differentiated squamous cell carcinoma with extensive involvement of oral and mandibular structures, emphasizing surgical planning and reconstruction using a FAN-FLAP.

Materials and Methods

• Clinical Evaluation: A 3.5 x 5 cm lesion on the inner buccal mucosa, infiltrating the buccinator muscle, extending to the skin, and involving the hemimandible in the premolar region.
• Diagnostic Imaging: Computed tomography with 3D reconstruction to determine the bone extension of the lesion.
• Incisional Biopsy: Confirmation of well-differentiated squamous cell carcinoma.
• Preoperative Assessment: Hematological studies and liver and kidney function tests.
• Surgical Planning: Resection of the affected mandibular segment with safe oncological margins and immediate reconstruction using a FAN-FLAP, secured with titanium plates and vascular microanastomosis.

Surgical Planning: Resection of the affected mandibular segment with safe oncological margins and immediate reconstruction using a FAN-FLAP, secured with titanium plates and vascular microanastomosis.

Results: The procedure was performed without immediate complications. The patient experienced a favorable postoperative recovery, with proper flap integration and functional and aesthetic restoration of the affected area.

Conclusion: Mandibular reconstruction using a FAN-FLAP is an effective option for complex defects resulting from the resection of advanced squamous cell carcinomas, allowing for satisfactory functional and aesthetic rehabilitation.

Keywords: Reconstruction; Mandibular; Brown; FAN-FLAP; Surgical; Clinical

References

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Citation

Citation: Otto Alemán Miranda.,et al. “Reconstruction of Mandibular Defect Brown Type IId with FAN-FLAP: Surgical Approach and Clinical Considerations".Acta Scientific Dental Sciences 9.4 (2025): 35-39.

Copyright

Copyright: © 2025 Otto Alemán Miranda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.