Radiation-induced leiomyosarcoma of the maxillofacial region: facial reconstruction with implant-retained prosthesis

The Journal of Craniofacial Surgery
Secil KarakocaBilge Turhan Bal

Abstract

Radiation-induced sarcoma represents an exceptional rarity in the head and neck region. The treatment is surgical excision with negative margins and follow-up. After surgery, reconstruction of the defects can be accomplished either surgically or prosthetically. Implant-retained maxillofacial prostheses may offer an acceptable solution. In this report, a large facial defect resulting from radiation-induced leiomyosarcoma was reconstructed with implant-retained prosthesis. A patient with a large facial defect resulting from tumor surgery presented for reconstructive treatment. The primary tumor was fibrous histiosarcoma. Four years after the patient was treated with surgical resection and subsequent irradiation, leiomyosarcoma was diagnosed in the defect site. Leiomyosarcoma was treated with complete surgical resection, and the defect was reconstructed with implant-retained prosthesis. The patient was evaluated every 6 months. Implants provided secure retention to the prosthesis. The patient was satisfied with the appearance of the prosthesis. At 12 months' examination, functioning implants were successful; however, color fade of the prosthesis was observed. Radiation-induced leiomyosarcoma, which is an uncommon tumor in the head...Continue Reading

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Citations

Sep 29, 2011·Oral and Maxillofacial Surgery·Rebeca Souza AzevedoJacks Jorge
Jul 2, 2014·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Letícia Machado GonçalvesFrancisco Mauro da Silva Girundi
Nov 14, 2020·Advances in Therapy·Andrés Coca-PelazAlfio Ferlito

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