Hemimandibulectomy using submandibular approach due to a multi-cystic ameloblastoma on the lower jaw and reconstruction with a titanium bar!! Ameloblastoma is a rare, benign tumor of odontogenic epithelium much more commonly appearing in the mandible than the maxilla. While these tumors are rarely malignant or metastatic (benign, they rarely spread to other parts of the body), and progress slowly, the resulting lesions can cause severe abnormalities of the face and jaw. On gross pathology, the characteristic findings of ameloblastoma may include solid and cystic, mulitcystic and intraosseous or extraosseous, or rarely unicystic. In many cases, the first sign is painless swelling in the jaw. The etiology is not fully established, and in most cases it presents as an asymptomatic, slow growing tumors, with high rate of recurrence if it's not removed predominantly by a radical surgical resection. In an effort to prevent recurrence, a wide margin of healthy tissue should be removed from the area surrounding the tumor The surgery is followed by the reconstruction of the defects. The picture shows a missing potion of the mandible following a segmental mandibulectomy and reconstruction using a stainless steel titanium plate. Segmental mandibulectomy is indicated for the resection of tumors with gross bone invasion. Photo by @medical_gossips
COMMANDO surgery is performed for malignant tumors of same area. Right?