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A delayed presentation of ameloblastic fibrosarcoma in an African patient
  1. Nkhensani Yvonne Chauke,
  2. Chrysis Sofianos,
  3. Dimitri Liakos,
  4. Elias Ndobe
  1. Department of Plastic and Reconstructive Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa
  1. Correspondence to Dr Chrysis Sofianos, sofianosc{at}


A 24-year-old womanpresented with ameloblastic fibrosarcoma arising from ameloblastic fibroma. The delayed presentation accounted for the extensive destruction of the mandible and complete occlusion of her oral cavity. This resulted in an inability to eat and maintain oral hygiene. A multidisciplinary team management approach involved nutritional optimisation, segmental mandibulectomy, reconstruction with a reconstructive plate and a free anterolateral thigh flap to line the the floor of mouth. Functional and aesthetic outcome was acceptable, and the patient is planned for secondary free fibular flap bony reconstruction.

  • head and neck cancer
  • head and neck surgery
  • plastic and reconstructive surgery
  • oral and maxillofacial surgery

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  • Contributors NYC collected the data for the case report and prepared the first draft of the report. CS performed the subsequent write-up of the paper, referenced and prepared the images for inclusion. DL was the Consultant Plastic Surgeon performing the case and provided the articles and ultimate structure of the paper. EN provided support at all stages of the paper and his input was instrumental in the final revisions of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.