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

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...

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Bibliographic Details
Main Authors: Mark Lim, Ignacio A. Velasco Martinez, Tina Woods, Ben McIntyre, Ibrahim Sevki Bayrakdar, Sevda Kurt-Bayrakdar, Rohan Jagtap
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Surgeries
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Online Access:https://www.mdpi.com/2673-4095/6/2/34
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Summary: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.
ISSN:2673-4095