Extensive ameloblastoma of the jaws: surgical management and immediate reconstruction using microvascular flaps

Zemann, Wolfgang; Feichtinger, Matthias; Kowatsch, E.; Kärcher, Hans

doi:10.1016/j.tripleo.2006.05.004

Cited by 62 publications

(63 citation statements)

References 37 publications

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“…Thus, removal of uninvolved bone 1 to 2-cm beyond the clinical tumour margin, is of great help to ensure clearance from microscopic infiltration. [2][3][4][5][6][7] All involved teeth must be removed because small tumour islands can persist within the periodontal ligament. 12 We established an algorithm for managing mandibular ameloblastoma (Fig.…”

Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

“…5 Hence, patient follow-up using clinical examination and panoramic radiograph should be done twice a year in the first 5 years and then once a year for at least 10 years. 2,6 Patients undergoing the SM-IFFOFR necessitate more frequent follow-up during the first-year postoperative course. tissue (that enhances tongue mobility, speech, swallowing and subsequent dental rehabilitation).…”

Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

“…[4][5][6]15,19,20 However, only 2 patients in this series received this treatment due to a lack of the reimbursement of dental implant therapy in France. of the big toe.…”

Section: A C C E P T E D Article In Pressmentioning

confidence: 99%

“…Both solid and unicystic ameloblastoma commonly occur in the mandible, especially the molar-ramus area. [1][2][3][4][5][6] Various therapies for ameloblastoma have been reported. However, the universally accepted approach remains unsettled.…”

Section: Introductionmentioning

confidence: 99%

“…Some authors reported the treatment of extensive ameloblastoma using radical excision with immediate microvascular reconstruction. [4][5][6] Until now, there has been neither definition of nor definite treatment consensus on giant mandibular ameloblastoma (GMA). In this paper, GMA is defined as mandibular ameloblastoma which consists of three components: 1) large size (> 5 cm in length), 2) thinning of the inferior and/or posterior mandibular borders, and 3) considerable jaw expansion.…”

Section: Introductionmentioning

confidence: 99%

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A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Chaine¹,

Pitak‐Arnnop²,

Dhanuthai³

et al. 2009

European Journal of Surgical Oncology (EJSO)

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. FINDINGS:Forty-four ameloblastoma patients were operated during this study period. Sixteen cases had GMA, of which 9 patients were included in this series (mean age: 35 years). The defects in the mandible ranged from 7 to 16 cm in length (mean: 12 cm). The average length of the harvested fibula was 11 cm, and the number of osteotomies ranged from 1 to 2. The mean ischemic time was 137 minutes (range: 90-180 minutes).Neck recipient vessels were used for flap perfusion in all cases. All but one flaps were viable without any complications, whilst partial skin-island necrosis occurred in 2 patients. Hospital stay was 2 weeks in most of the patients. No tumour recurrence was found during the follow-up period (range: 26-73 months). Dental implants were placed in 2 patients. CONCLUSIONS:Despite several limitations of this study, we suggest that a radical approach with the SM-IFFOFR is an effective treatment for GMA. Further well-designed, larger series with longer follow-up periods are still encouraged.

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Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

Section: A Rational Approach For Treating Ameloblastomamentioning

confidence: 99%

“…[4][5][6]15,19,20 However, only 2 patients in this series received this treatment due to a lack of the reimbursement of dental implant therapy in France. of the big toe.…”

Section: A C C E P T E D Article In Pressmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

Chaine¹,

Pitak‐Arnnop²,

Dhanuthai³

et al. 2009

European Journal of Surgical Oncology (EJSO)

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Maxillary Reconstruction With the Scapular Angle Osteomyogenous Free Flap

Miles¹

2011

Arch Otolaryngol Head Neck Surg

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This investigation indicates that the angular scapular flap has some advantages over other free-tissue transfer techniques for complex maxillary defect reconstruction. A considerable number (46%) of patients will experience some type of local complications after undergoing these challenging reconstructions, and many (41%) will require revision surgery. Postoperative fistula will often close spontaneously. Donor site morbidity is relatively low according to preliminary analysis.

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