NUMERO: #20250085

Título: MICROVASCULARIZED FIBULA RECONSTRUCTION FOR THE TREATMENT OF RECURRENT PRIMARY MENINGIOMA

Nome do Apresentador: Laura Olimpio Moraes Serrano Mendes

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: A 35-year-old male patient presented with a two-month history of swelling in the right retromolar region and a previous history of endodontic treatment on the right second molar. Panoramic radiography revealed a poorly defined multilocular osteolytic lesion involving the body and ramus of the mandible. Cone-beam computed tomography showed involvement of the mandibular canal and disruption of the cortical bone. Incisional biopsy revealed a spindle cell neoplasm, with immunohistochemical positivity for EMA, vimentin, and CD34, confirming the diagnosis of a primary extracranial meningioma. Initial treatment involved partial mandibular resection and reconstruction with an iliac crest bone graft and locking plates. In 2019, a recurrence occurred, requiring further resection with removal of the periosteum and inferior alveolar nerve, while preserving the lingual nerve, followed by reconstruction with a vascularized fibula flap. As of 2025, the patient remains under clinical follow-up with no signs of recurrence.

Autor 1:  Laura Olimpio Moraes Serrano Mendes

E-mail 1:  [email protected]

Autor 2:   Maria Eduarda Cardoso Inácio

E-mail 2:  [email protected]

Autor 3 :  Thais da Silveira Rodrigues

E-mail 3:  [email protected]

Autor 4:  Roger William Fernandes Moreira

E-mail 4:  [email protected]

Autor 5:  Gileade Pereira de Freitas

E-mail 5:  [email protected]

Autor 6:  Rhonan Ferreira da Silva

E-mail 6:  [email protected]

Autor 7:  Robson Rodrigues Garcia

E-mail 7:  [email protected]