Basal cell ameloblastoma (BCA) is a rare histological variant of ameloblastoma. It is composed of densely packed nests and strands of basaloid cells with inconspicuous stellate reticulum‐like cells. To date, there are only 24 reported cases of BCA in the English language literature. Ameloblastoma in children is relatively an uncommon tumour and accounts for approximately 15% among all odontogenic tumours. We report a case of BCA in an 8‐year‐old Iban girl who underwent hemimandibulectomy and reconstruction of the mandible with costochondral graft (CCG). A 6 months review showed that healing process was uneventful. She is under regular follow‐up and monitoring since multicystic ameloblastoma tend to recur and also the growth of the CCG is extremely unpredictable.
This article aims to report a rare case of traumatic long‐standing unilateral dislocation of temporomandibular joint (TMJ). To the best of our knowledge, this is the first reported case of unilateral TMJ dislocation in the paediatric population. A healthy 15‐year‐old boy presented to our department complaining of facial pain around the TMJ region. A diagnosis of unilateral left TMJ dislocation associated with myofacial pain was made based on history, clinical and radiographic examinations. Manual reduction alone was not successful to keep the reduced left condyle within the glenoid fossa. Intermaxillary fixation was needed to improve the treatment outcome. Non‐steroidal anti‐inflammatory drug was prescribed for myofacial pain. The management of this case was challenging contributed to the nature of clinical presentations.
Key Clinical MessageThe current trend of managing maxillary tuberosity fractures is traumatic and results in the loss of bone and teeth. Treatment options that chose to retain the fractured segments and teeth have been perceived to be unfavorable. This case report shows that maxillary tuberosity fractures can be treated conservatively.
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