Figure 1.
Citation attrition diagram documenting the systematic review search process as per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses).
Figure 2.
Preoperative photograph, demonstrating a large right mandibular ameloblastoma, causing an inability to eat and speak comfortably and severe cosmetic disfigurement.
Reproduced with permission from: Fox C, Rozen WM, Ramakrishnan A, Baillieu C, Mirkazemi M, Leong J (2012) Microvascular Mandibular Reconstruction for Neglected Mandibular Tumours in the Third World: Bringing Humanitarian Aid Home. Plast Reconstr Surg. In Press.
Figure 3.
Preoperative computed tomographic (CT) imaging demonstrating the right mandibular ameloblastoma, with tumor dimensions measuring 13.8×11.2 cm in maximum axial dimension.
Figure 4.
Intra-operative photograph of the ameloblastoma specimen after excision.
Figure 5.
Intra-operative photograph of the patient after segmental mandibulectomy for ameloblastoma resection, highlighting the wide margins achieved, prior to any reconstruction.
Figure 6.
Intra-operative specimen radiograph with plain x-rays.
Figure 7.
Intra-operative specimen computed tomogram (CT), with volumetric three-dimensional reconstruction image shown.
Figure 8.
Post-resection mandible reconstructed with free fibula flap, contoured with two closing wedge osteotomies, osseointegrated dental implants placed primarily, and a genioplasty performed with fibula bone graft to recreate chin contour.
Figure 9.
Postoperative x-ray, demonstrating good bony contour, with reconstruction plates used for mandibular fixation, screws used for genioplasty and osseointegrated dental implants inserted primarily.
Figure 10.
Postoperative photograph following resection and free fibula flap reconstruction, with only placement of a dental prosthesis outstanding to conclude her reconstruction.
Postoperative smile highlights both the good cosmetic and functional outcome. Reproduced with permission from: Fox C, Rozen WM, Ramakrishnan A, Baillieu C, Mirkazemi M, Leong J (2012) Microvascular mandibular reconstruction for neglected mandibular tumours in the third world: Bringing humanitarian aid home. Plast Reconstr Surg. In Press.
Figure 11.
Postoperative photograph of the osseointegrated dental implants, awaiting placement of the definitive dental prosthesis.
Table 1.
Comparison of margins for intra-operative specimen x-ray, Computed Tomography and definitive post-operative histology.