DESMOPLASTIC AMELOBLASTOMA IN THE MAXILLA: A CASE REPORT

Abstract

Desmoplastic ameloblastoma is a rare variant with unknown biologic behavior. The purpose of this work is to report a case of a male patient, 17 years old, for whom the incisional biopsy was conclusive for desmoplastic ameloblastoma. Computed tomography and prototype were part of the surgical planning. Partial maxillectomy with a 0.5-cm margin was performed, involving 2.1 through 1.6 tooth, the border of the nasal cavity, and less them 3 mm below the infraorbital foramen. The maxillary structure was reconstructed with a 2.0 titanium system screen, to minimize communication between the mouth and maxillary sinus while maintaining the maxillary projection and the space to be reconstructed later. The tumor was send for histopathologic exam. The patient had a 1-year follow-up without recurrence, using a partial removable denture, to enable him to return to his daily routine. Desmoplastic ameloblastoma is a rare variant with unknown biologic behavior. The purpose of this work is to report a case of a male patient, 17 years old, for whom the incisional biopsy was conclusive for desmoplastic ameloblastoma. Computed tomography and prototype were part of the surgical planning. Partial maxillectomy with a 0.5-cm margin was performed, involving 2.1 through 1.6 tooth, the border of the nasal cavity, and less them 3 mm below the infraorbital foramen. The maxillary structure was reconstructed with a 2.0 titanium system screen, to minimize communication between the mouth and maxillary sinus while maintaining the maxillary projection and the space to be reconstructed later. The tumor was send for histopathologic exam. The patient had a 1-year follow-up without recurrence, using a partial removable denture, to enable him to return to his daily routine.