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Ewing sarcoma of the mandibular condyle: Multidisciplinary management optimizes outcome
Author(s) -
Solomon Lynn W.,
Frustino Jennifer L.,
Loree Thom R.,
Brecher Martin L.,
Alberico Ronald A.,
Sullivan Maureen
Publication year - 2008
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20692
Subject(s) - medicine , condyle , malignancy , osteosarcoma , sarcoma , temporomandibular joint , surgery , mandible (arthropod mouthpart) , chemotherapy , cartilage , dentistry , anatomy , pathology , botany , biology , genus
Abstract Background. Ewing sarcoma (ES) is a rare, primary malignancy of bone that occurs in childhood and early adolescence. Improved methods of diagnosis and treatment have dramatically increased survival over the last 20 years. Treatment mainstays are chemotherapy and surgical tumor resection. ES usually occurs in long bones of the axial skeleton; however, it may rarely arise in facial structures, particularly the mandible. In these cases, resection presents a challenging postsurgical reconstruction. Methods and Results. We present the clinical findings and management of a case of ES that developed in the left mandibular condyle of a 15‐year‐old female. Chemotherapy and segmental mandibulectomy were used to achieve local control. An innovative temporomandibular joint reconstruction was successfully accomplished using a microvascular fibular free flap and conchal cartilage graft. Conclusion. Multidisciplinary management in diagnosis, treatment, and restoration of function produced an optimal result that eliminated disease and preserved aesthetics and quality of life. © 2007 Wiley Periodicals, Inc. Head Neck 2008