Tratamento cirúrgico do ameloblastoma com reconstrução de mandíbula com enxerto de crista ilíaca não vascularizado: estudo de sete casos

Lunardi, Daniela Venturoli; Fava, Antonio; Martins, Rui Henriques; Homem, Maria da Graça Naclério; Rapoport, Abrão; Carvalho, Marcos Brasilino de

doi:10.1590/s0100-69912001000100003

Cited by 3 publications

(4 citation statements)

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“…There is no standardization in the literature as to mandible regions affected. Lunardi et al 8 suggest division in anatomical areas and not in dental regions, as per described by Reichart et al 9 .…”

Section: Discussionmentioning

confidence: 76%

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Estudo demográfico, clínico e terapêutico do ameloblastoma: análise de 40 casos

França¹,

Curioni²,

Paiva³

et al. 2012

Braz. j. otorhinolaryngol.

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Dent al lesions represent about 1% of oral cavity tumors being ameloblastoma the most common one. It is a tumor of epithelial origin that mainly affects the jaw, and less commonly the maxilla. Its clinical presentation is that of an asymptomatic slow-growing tumor. Despite being a benign tumor, it has an invasive behavior with a high rate of recurrence if not treated properly.Objective: To describe the cases of ameloblastoma in a reference department.Methods: Retrospective analysis of 40 cases. The variables analyzed were: age, gender, ethnicity, tumor location, type of treatment, complications and recurrence. Results:The most affected gender was male -21 cases (52.5%); with a predominance of Caucasians -24 cases (60%). The mean age was 35.45 years; the most common location was in the jaw -37 cases (92.5%). Facial asymmetry was the most frequent complaint. Of the 40 cases, 33 were submitted to surgery. Of those submitted to surgery, 24 (72.72%) underwent segmental resection, with recurrence in 4 (12.12%) cases. Conclusion:Ameloblastoma may relapse when treatment is not performed with broad surgical resection of the lesion with wide safety margins. Braz J Otorhinolaryngol. 2012;78(3):38-41. ORIGINAL ARTICLE BJORL

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Section: Discussionmentioning

confidence: 76%

“…It is a slow growth tumor, with only few symptoms in initial stages 7 . Despite being benign, it has an invasive behavior with a high rate of recurrence if not treated properly 8 .…”

Section: Introductionmentioning

confidence: 99%

Estudo demográfico, clínico e terapêutico do ameloblastoma: análise de 40 casos

França¹,

Curioni²,

Paiva³

et al. 2012

Braz. j. otorhinolaryngol.

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“…Ameloblastoma are benign tumors but locally invasive, thereby have a high recurrence rate if not treated appropriately. 9 Rarely, it grows to gigantic sizes. However, there is no size definition for a giant ameloblastoma.…”

Section: Discussionmentioning

confidence: 99%

Case report of a massive giant ameloblastoma and its management

Manayath

Vanguri²,

Gujjalanavar³

et al. 2022

Int Surg J

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Ameloblastoma is a benign odontogenic tumor. It is slow growing, locally aggressive, rare tumor, accounting for 1% of all the jaw tumors. Here, we report a case of a Giant ameloblastoma in a 38-year-old gentleman who presented with a massive tumor of the mandible, possibly the largest reported in literature. The tumor had caused significant facial disfigurement and functional impairment leading to nutritional deficiency, anemia and dehydration induced elevated renal parameters. It was neglected by the patient for over ten years, due to the fear of surgery and financial constraints. Pre-operative evaluation included 3-Dimensional computerized tomographic imaging of the head and neck and optimization of deranged hematological & renal parameters and high blood pressure. Surgical treatment entailed complete tumor resection with adequate margins and microvascular reconstruction with fibular free flap in a single stage. This case of a giant multicystic ameloblastoma of the mandible, possibly the largest of its kind, was managed by complete surgical resection and a simultaneous single stage reconstruction with complete financial aid provided by our institution for the entire treatment. Finally, providing the patient, an acceptable functional, aesthetic, and oncological outcome.

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“…Contrariamente, a asa do ílio ofereceu espessura compatível com a desejada, entretanto, como uma de suas extremidades é curva, deve-se secciona-la para torná-la plana, para permitir a aposição com o osso hospedeiro e isso deixa seu comprimento limitado. Tanto as costelas quanto a asa do ílio, adequam-se melhor em defeitos mandibulares (Lunardi et al, 2001;Braga-Silva et al, 2005;Gomes, 2008;El-Daharawy et al, 2010), fendas alveolares (Mendonça et al, 2011) e rinoplastias (Santos Júnior et al, 2008).…”

Section: Discussionunclassified