Rational approach to diagnosis and treatment of ameloblastomas and odontogenic keratocysts

Chapelle, K; Stoelinga, Paul J.W.; Wilde, P.C.M. de; Brouns, John J.A.; Voorsmit, R.A.C.A.

doi:10.1016/j.bjoms.2004.04.005

Cited by 116 publications

(85 citation statements)

References 22 publications

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“…Therefore, the true tumor margin, often times, goes beyond the apparent clinical or radiographic margin. The attempt to remove the tumor by curettage may leave small tumor islands in the bone, which later may represent recurrences, as it is being reported in this case 1,3 .…”

Section: Discussionmentioning

confidence: 59%

“…Many advocate a safety margin of at least 1cm beyond the tumor radiographic limits 1,3 . Others advocate segmentary resection or en bloc resection, which allows for total tumor removal and lower recurrence rates.…”

Section: Discussionmentioning

confidence: 99%

“…Multicystic ameloblastomas affect mainly young adults at the age of 35 years, without gender preference. It affects the mandible four times more than the maxilla, it is more frequent in the molar region and the mandibular ramus 1,3 ; however it can also be found in the maxillary sinus and nasal cavity. Since it produces very little symptoms, patients usually seek care when the tumor is already large.…”

Section: Introductionmentioning

confidence: 99%

“…In the literature we also find indications for electrocauterization, cryosurgery and the use of sclerosant agents as treatment options1. Image exams are essential in the post-op follow up, because over 50% of the recurrences happen in the first five years of post-operative 1,3 .…”

Section: Introductionmentioning

confidence: 99%

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Ameloblastoma mandibular tratado por ressecção óssea e reconstrução imediata

Montoro¹,

Tavares²,

Melo³

et al. 2008

Rev. Bras. Otorrinolaringol.

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Mul ticystic ameloblastoma mainly affects adult patients between the third and seventh decades of life, frequently in the posterior region of the mandible. The resection of a mandible segment without adequate reconstruction produces serious esthetic and functional sequelae leading to a loss of quality of life. The objective of this study is to show that multidisciplinary treatment of ameloblastomas helps in total lesion excision associated with complete reconstruction of the damaged area. We present a 47-year-old male patient with an ameloblastoma in the posterior mandible who was treated with complete resection of a mandibular segment. Reconstruction, carried out during the same surgical procedure, was performed using an iliac crest bone graft fixed with titanium plates and screws. Rehabilitation was completed eight months later with teeth implants in the grafted area. The advantages of this procedure include recurrence risk reduction due to segmental resection, reliable mandibular reconstruction and less surgical procedures, allowing full rehabilitation within a shorter period of time.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ameloblastoma mandibular tratado por ressecção óssea e reconstrução imediata

Montoro¹,

Tavares²,

Melo³

et al. 2008

Rev. Bras. Otorrinolaringol.

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“…This claim derives from the histological evidence that the fibrous membrane that surrounds the odontogenic epithelium is significantly firmer and more compact compared to other forms of ameloblastoma (15).…”

Section: A S E R E P O R Tmentioning

confidence: 99%

Ameloblastoma of the Lower Jaw: A Case Report

Trajković¹,

Krasić²,

Spasić³

et al. 2016

Acta Facultatis Medicae Naissensis

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Ameloblastoma, a semi-benign odontogenic tumor, is divided into four subtypes based on the clinical presentation, radiological manifestations and histological characteristics. Radiologically, it manifests itself in the form of uni-or multicystic intrabony expansive lesions, with destruction of the medullary zone of the existing bone, resorption and possible perforation of the buccal and lingual cortex.The patient, a 62-year-old woman, came to the Clinic for Maxillofacial Surgery in Niš with an anamnestically present painless tumefaction in the anterior segment of the mandible present for the past three years. In the course of an intraoral examination in the region of symphysis and parasymphysis of the lower jaw on the left side, an oval-shaped tumor was spotted, 5x3 cm in size; palpation showed that it was hard, painless and motionless. Multislice computed tomography (MSCT) of the oro -and hypopharynx and neck showed an extensive tumor formation of the soft tissue density in the anterior segments of the lower jaw, with the signs of destruction of bone tissue of the buccal and lingual cortex of the lower jaw.The frequency of recurrence depends on the histological type of ameloblastoma and the degree of radicalism of the performed surgical intervention. Ameloblastoma in most cases is definitely diagnosed in the advanced stage of the disease due to the absence of symptoms and very slow tumor progression.

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