下顎骨에 發生한 Paget s Disease의 外科的 治験 1例

A CASE OF SURGICAL TREATMENT FOR MANDIBULAR PAGET S DISEASE

Paget s disease of bone is an unusual idiopathic disease of the adult skeleton. This curious bone disorder is characterized by simultaneous destruction and repair of the involued tissues. This is a case of 21 year-old Korean female with a diagnosis of Paget s disease in the mandible. Chief complaint of the patient was facial asymmetry by slow growing mass with dull pain on the right mandibular body. Diagnosis was obtained by incisional biopsy of affected mandible after taking several radiograms, which was Paget s disease. Patient was treated by first subtotal mandiblectomy and resin splint implantation. We gained satisfactory result by secondary autogenous marrow bony graft from the iliac crest with titanium mesh for tray of bone chips. It is rarely that Paget s disease occurs in the second decade and mandible is the primary origin of paget s disease of bone.