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Published on: August 15, 2025
Ewing sarcoma of the mandibular condyle: multidisciplinary management optimizes outcome
Lynn W Solomon1, Jennifer L Frustino, Thom R Loree
1Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine, Boston, Massachusetts, USA. lynn.solomon@tufts.edu
Head & Neck
|July 28, 2007
Summary
Ewing sarcoma (ES) in the jaw requires complex reconstruction. This case highlights successful mandibular reconstruction using a fibular free flap and cartilage graft after tumor removal.
Area of Science:
- Oncology
- Oral and Maxillofacial Surgery
- Pediatric Malignancy
Background:
- Ewing sarcoma (ES) is a rare pediatric bone cancer, typically affecting long bones.
- While uncommon, ES can occur in facial structures like the mandible, posing reconstruction challenges.
- Advances in diagnosis and treatment have improved survival rates for ES over the past two decades.
Observation:
- A 15-year-old female presented with ES in the left mandibular condyle.
- Treatment involved chemotherapy and segmental mandibulectomy for local disease control.
Findings:
- Innovative reconstruction of the temporomandibular joint was achieved.
- A microvascular fibular free flap combined with a conchal cartilage graft facilitated reconstruction.
Implications:
- Multidisciplinary care is crucial for optimal outcomes in complex pediatric oncology cases.
- Successful reconstruction preserved facial aesthetics and patient quality of life.
- This case demonstrates a viable approach for mandibular reconstruction following ES resection.
