Ann Plast Reconstr Surg | Volume 6, Issue 2 | Case Report | Open Access

Fibromyxoma of the Mandible and Reconstruction with a Free Flap of the Fibula

Dani Bouchra1*, El harrak Samli2, Olaya Hamidi1, Oussalem Amine1 and Boulaadas Malik1

1Department of Maxillofacial Surgery and Stomatology, IBN SINA University Hospital, Morocco
2Department of Plastic and Reconstructive Surgery, IBN SINA University Hospital, Morocco

*Correspondance to: Dani Bouchra 

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Introduction: Fibromyxoma is a rare variety of benign jaw tumors. According to the WHO classification of 1992, myxoma of the jaw is an odontogenic tumor that develops from the ectomesenchyme. Clinical and radiological manifestations are variable and nonspecific and may be confusing with other tumors.
Case Report: We describe a rare case of odontogenic fibromyxoma of the left hemi mandible, observed in a 45-year-old patient admitted to our maxillofacial surgery department in May 2017. Clinically, the patient presented with painless and firm left cheek swelling. CT scan of the facial mass showed an expansive osteolytic process blowing through the entire left hemi mandible. A biopsy was made and the histological findings were in favor of an odontogenic fibromyxoma. In front of the large tumor extension, a hemi-mandibulectomy was decided for our patient. The reconstruction of the substance loss was made by a free flap of the fibula.
Discussion: The diagnosis of fibromyxoma in our case was based on clinical, radiological and anatomopathological arguments. Although histologically benign, the local aggressiveness of this tumor and its high rate of recurrence require radical surgical treatment beyond the limits of the lesion in order to avoid recurrence. The resulting loss of substance involves surgical or prosthetic repair.


Bouchra D, El harrak Samli, Hamidi O, Amine O, Malik B. Fibromyxoma of the Mandible and Reconstruction with a Free Flap of the Fibula. Ann Plast Reconstr Surg. 2022;6(2):1089..

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