Neocondylar Formation with Vascularized Fibular Free Flap: A Report of Three Rare Cases and Review of Literature


Lim M., Martinez I. A. V., Woods T., McIntyre B., BAYRAKDAR İ. Ş., KURT BAYRAKDAR S., ...Daha Fazla

SURGERIES, cilt.6, sa.2, 2025 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 6 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.3390/surgeries6020034
  • Dergi Adı: SURGERIES
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
  • Eskişehir Osmangazi Üniversitesi Adresli: Hayır

Özet

Background: Neocondylar formation is an uncommon finding that can result after the reconstruction of a vascularized free flap. Three case reports were presented in the current article. (1) A 64-year-old male presented with clear cell Odontogenic Carcinoma to the left mandible. (2) A 14-year-old male presented with an ameloblastoma to the right mandibular associated with tooth 48. (3) A 13-year-old female presented with an ameloblastoma to the right mandible. Methods and Results: All three cases required a surgical resection of the mandible involving the temporomandibular joint. Reconstruction was performed using a vascularized free flap, and Neocondylar formation was observed during the healing process in all three cases. Neocondylar formation after a vascularized free flap reconstruction can improve anatomical functions such as mastication and decrease post-operative complications. Knowledge of this finding can improve future surgical treatment planning and outcome. Conclusion: This report contributes to the existing literature by offering new insights into neo-condylar formation following mandibular reconstruction with vascularized free fibular flap, particularly in complex resective surgeries, and highlights its potential clinical implications.