A 25-year-old male patient reported to the department with the chief complaint of swelling in the lower left back tooth region for the last year. On extraoral examination we could palpate a swelling approximately of the size 6 cm × 3 cm extending from the commissure of lip to the posterior border of the mandible. On intraoral palpation there was expansion of buccal and lingual cortical plates and perforation of lingual cortical plates. Incisional biopsy was done. It revealed plexiform ameloblastoma. The patient was operated on under GA. Segmental resection with disarticulation of the left mandible was done followed by reconstruction with microvascular fibula free flap using reconstruction plate. A regular follow-up is being done. There is no sign of recurrence.
A 28-year-old female patient reported to the department with the chief complaint of swelling in the lower left back tooth region for the last three months. On extraoral examination, there was a swelling approximately of the size 4 cm × 4 cm extending from left commissure of lip to the posterior border of ramus of mandible and from ala-tragus line to 1 cm below the lower border of mandible. On intraoral examination there was bony expansion in buccal and lingual cortical plate and perforation of lingual cortical plate. Incisional biopsy was done. It revealed follicular type of ameloblastoma. Segmental resection with disarticulation of the left mandible was done followed by reconstruction with rib graft using reconstruction plate. A regular follow-up is being done. There is no sign of recurrence.