SOLITARY PLASMACYTOMA OF THE MANDIBLE - A COMBINED APPROACH FOR TREATMENT AND RECONSTRUCTION

A 44-year-old man presented with a solitary plasmocytoma in the left m andible. After neoadjuvant radiation therapy and chemotherapy, a bone marrow biopsy was taken for cryopreservation. In simulation surgery, t umour resection and primary reconstruction were planned on an individu al stereolithographic 3-D skull model. Radical tumour resection and pr imary reconstruction using a microvascular iliac crest bone graft was performed. In case of extensive osteolysis and/or mandibular asymmetry due to tumourous bone enlargement, preoperative model planning has pr oved to be a useful tool for primary reconstruction. In the three-year follow up, the patient showed no recurrence of disease.