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JOURNAL ARTICLE

A delayed presentation of ameloblastic fibrosarcoma in an African patient

Nkhensani Yvonne Chauke, Chrysis Sofianos, Dimitri Liakos, Elias Ndobe
BMJ Case Reports 2017 August 1, 2017
28765185
A 24-year-old womanpresented with ameloblastic fibrosarcoma arising from ameloblastic fibroma. The delayed presentation accounted for the extensive destruction of the mandible and complete occlusion of her oral cavity. This resulted in an inability to eat and maintain oral hygiene. A multidisciplinary team management approach involved nutritional optimisation, segmental mandibulectomy, reconstruction with a reconstructive plate and a free anterolateral thigh flap to line the the floor of mouth. Functional and aesthetic outcome was acceptable, and the patient is planned for secondary free fibular flap bony reconstruction.

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