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Date Published: 23/05/2025
Abstract Views: 49
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DOI: https://doi.org/10.51298/vmj.v550i2.14197
Issue
Vol. 550 No. 2 (2025)
Section
Các bài báo
How to Cite
Nguyễn Quang, R., Lê Ngọc, T., Phạm Nhật, Q., & Lại Bình, N. (2025). COMPREHENSIVE TREATMENT FOR A PATIENT WITH CLEAR CELL ODONTOGENIC CARCINOMA OF MAXILLA. Vietnam Medical Journal, 550(2). https://doi.org/10.51298/vmj.v550i2.14197

COMPREHENSIVE TREATMENT FOR A PATIENT WITH CLEAR CELL ODONTOGENIC CARCINOMA OF MAXILLA

Rực Nguyễn Quang, Tuyến Lê Ngọc, Quang Phạm Nhật, Nguyên Lại Bình

Main Article Content

Abstract

Backgrounds: Clear cell odontogenic carcinoma is a rare malignant odontogenic tumor. This tumor resection will leave a large defect consists of bone, teeth, and surrounding soft tissues. To restore both functionally and aesthetically, the patient needs a comprehensive treatment plan, includes anatomical reconstruction, defect covering, and improving quality of life. Therefore, reconstruction with free osteomusculocutaneous flap and implant-supported dental prosthesis with acellular dermal matrix is proposed as a new and effective treatment protocol. Methods: Case report and literature review. Results: After two operations and one dental implant insertion procedure, the patient is fully restored both functionally and aesthetically. Her postoperative chewing, eating, and speaking are similar as the preoperative ones. After 18-month-follow-up, we have not found any sign of tumor relapse or surgery-related and prosthesis-related consequences. Conclusion: Advanced techniques included microsurgery and acellular dermal matrix application are promising methods to enhance treatment efficiency and improve quality of life for patients with large maxillofacial bone defects and those need keratinized gingiva graft for dental rehabilitation.

Article Details

Keywords

clear cell odontogenic carcinoma, free fibula flap, implant-supported prosthesis, acellular dermal matrix

References

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