Ameloblastoma in children: Should we be radical?

Sharma, Shweta; Goyal, Dhawal; Ray, Amit; Gupta, Nandita

doi:10.4103/0970-4388.90748

Cited by 4 publications

(3 citation statements)

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“…[ 9 ] Marsupialization is supported as a presurgical treatment for UA by many researchers. [ 10 11 12 13 14 15 16 17 18 19 ] Some studies that mainly investigate efficacy of marsupialization on cystic lesions supported marsupialization for UA. [ 20 21 22 ] Prasad et al treated 5 cases with UAs with decompression in which decompression period range between 3 months and 24 months.…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature

Demir

Günhan²

2023

Dental Research Journal

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Ameloblastoma is a benign tumor of odontogenic epithelium which is slow growing, locally invasive, expansive that may result with asymmetries of the face. Conservative treatment of odontogenic tumors with marsupialization is not common but can be done successfully in those with cystic pattern. The aim of this case and literature review is to propose marsupialization as an initial procedure for its treatment. We have presented a case of an ameloblastoma involving 56-year-old male patient. Orthopantomography and computed tomography showed the lesion extended between the right molar region and left molar region of mandible with both buccal and lingual expansion and root resorptions. On clinical examination, expansions of mandible and slight tooth mobilities were seen. An incisional biopsy was carried out and histopathologic examination revealed ameloblastoma although clinical features of lesion were more suggestive of cyst. Our case was treated by obturator marsupialization with a good healing. This case and review of the literature discusses the available treatment option according to macroscopic features of jaw lesions and emphasizes on the importance of the most conservative treatment option. Conservative treatment preserves integrity of bones while radical treatment can leave major cosmetic and functional sequelae such as pathologic fractures, complication with reconstruction plates.

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Section: Discussionmentioning

confidence: 99%

Conservative treatment of a unicystic ameloblastoma by marsupialization with a favorable response: A case report and review of the literature

Demir

Günhan²

2023

Dental Research Journal

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“…Cystic and tumoral lesions in mandible and maxilla are important because of resulting in morbidities such as jaw swelling, pain and sensory disturbances [5]; displacement of tooth [6]; occlusal alterations; and failure of eruption of teeth [7]. Moreover, a large portion of primary intraosseous malignancies of the jaws are originated from pre-exciting cysts more commonly odontogenic cysts [8].…”

Section: Introductionmentioning

confidence: 99%

Radiological and Clinical Evaluation of Maxillofacial Cysts and Tumors in Patients Referred to Hospitals in Kermanshah during 2008 - 2012

Nikkerdar¹,

Azizi²,

Golshah³

2017

ME-JFM

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Background: Maxillofacial cysts and tumors are major causes of jawbone destruction; and may occasionally result in early mortality of patients. This study purposed to radiologically and clinically evaluate maxillofacial cysts and tumors among Iranian patients. Methods: A retrospective study was conducted on medical records of patients referred to surgical departments of two hospitals (Bisotun and Imam Khomeini) in Kermanshah, Iran, from 2008 to 2012. Totally, 347 records were reviewed and 85 cases with intraosseously maxillofacial lesions were selected. The information including age, gender, type of lesion and its characteristics (number of lesions, anatomic location, radiolucency, and lesion border) were collected. Data were presented by descriptive statistics using SPSS 20 software. Results: Overall occurrence of maxillofacial lesions was 24.5% (85/347) including 41 cysts, 14 benign tumors, 10 malignant tumors, and 20 bone diseases in jaws. The most common cysts, benign tumor, malignant tumor, and jawbone disease was radicular cyst (41.5%), ameloblastoma (57.1%), squamous cell carcinoma (75%), and central giant cell granuloma (65%), respectively. The posterior region of mandible and anterior part of maxilla were respectively identified as the first and second most common anatomic locations for development of the maxillofacial lesions. The peak age of patients was third and fourth decade for the majority of lesions but seventh and eighth decade for squamous cell carcinoma. Conclusions: Our findings are generally consistent with those reported in the literature. However, there are a few dissimilarities that may be due to racial and/or environmental differences.

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“…[1] It represents 1% of all tumors and cysts that involve the maxillomandibular area and about 10% of the odontogenic tumors. [2] The first description of Ameloblastoma was made by Cusack in 1827.…”

Section: Imentioning

confidence: 99%