COSTOCHONDRAL AUTOGENOUS GRAFT AFTER RESECTION OF CENTRAL LESION OF GIANT CELLS IN THE MANDIBLE

A 15-year-old male patient sought treatment complaining of “swollen face” (according to patient information). Physical examination showed painless swelling, of hard consistency on palpation, involving the regions of the mandibular body and parasymphysis. Imaging examination revealed a hypodense area of poorly defined margins between dental units 41 and 46 and displacement of teeth 43 and 44. An incisional biopsy followed by histopathologic examination, with hematological examinations, confirmed a diagnosis of central giant cell lesion. The treatment consisted of marginal resection and immediate insertion of a double costochondral autogenous graft. The 36-month follow-up revealed no signs of recurrence of the lesion. The graft is intact and in preparation for prosthetic rehabilitation. The present case shows the importance of the treatment of the illness followed by rehabilitation through autogenous grafting, providing a better quality of life to the patient.