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It was treated by wide segmental resection of the left hemimandible and reconstruction with a free vascularized fibular graft. Six months after surgery, the patient returned with pain, swelling, and moth-like lesions in the transplant in combination with appositional bone formation surrounding the ossified fibular bone. Radiographic and histological examination led to the diagnosis of a recurrent osteomyelitis with proliferative periostitis affecting the resected and reconstructed mandible. Application of ibandronate led to a significant symptom decrease.<\/jats:p>","DOI":"10.1007\/s10006-022-01051-4","type":"journal-article","created":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T00:02:26Z","timestamp":1647475346000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Recurrent osteomyelitis with proliferative periostitis after segmental resection and reconstruction of the mandible: a case report"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0905-178X","authenticated-orcid":false,"given":"Michael","family":"Maurer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josef Maximilian","family":"Gottsauner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Mamilos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten E.","family":"Reichert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Ettl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,3,17]]},"reference":[{"key":"1051_CR1","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/0030-4220(90)90188-X","volume":"70","author":"GJ Felsberg","year":"1990","unstructured":"Felsberg GJ, Gore RL, Schweitzer ME et al (1990) Sclerosing osteomyelitis of Garr\u00e8 (periostitis ossificans). Oral Surg Oral Med Oral Pathol 70:117\u2013120. https:\/\/doi.org\/10.1016\/0030-4220(90)90188-X","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"1051_CR2","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1308\/rcsann.2019.0021","volume":"101","author":"D Liu","year":"2019","unstructured":"Liu D, Zhang J, Li T et al (2019) Chronic osteomyelitis with proliferative periostitis of the mandibular body: report of a case and review of the literature. Ann R Coll Surg Engl 101:328\u2013332. https:\/\/doi.org\/10.1308\/rcsann.2019.0021","journal-title":"Ann R Coll Surg Engl"},{"key":"1051_CR3","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1016\/j.tripleo.2006.03.025","volume":"102","author":"ACK Tong","year":"2006","unstructured":"Tong ACK, Ng IOL, Yeung KMA (2006) Osteomyelitis with proliferative periostitis: an unusual case. 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The authors affirm that the patient provided informed consent for publication of the images in Figs.\u00a0\u2013.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}