Recurrent tumors in previously placed bone grafts are rare. A case of recurrent ameloblastoma in a rib graft 13 years after resection and reconstruction is presented. A review of the literature discloses only one cases of ameloblastoma recurring within a bone graft. Considering that the recurrence rate is substantial in these tumors, prudent planning and meticulous surgery is mandatory prior to any attempt at reconstruction to minimize the risk of failure due to recurrence.
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