Abstract
Ameloblastoma is a common odontogenic tumor that is locally aggressive with extensive involvement mainly in the jaw in the molar and angle region. The objective is to report about a 72-year-old leucoderm man with asymptomatic increase on the right side of face, a victim of multicystic ameloblastoma. Tomography revealed a hypodense, multiloculated image with cortical perforation. After the diagnosis was confirmed by incisional biopsy results, bloc resection was performed, with disarticulation and reconstruction with customized temporomandibular joint (TMJ) prosthesis. The treatment was performed at 2 surgical times: resection of the lesion and temporary reconstruction of the defect with a 2.4-mm reconstruction plate, bicortical screws, and polymethylmethacrylate in the portion of the mandibular branch and condyle, and 6 months after it was definitively rebuilt with a custom TMJ prosthesis. In the postoperative period of 2 years after the second surgical act there is no evidence of infection or recurrence of the lesion; it has a facial contour and a satisfactory masticatory function. Ameloblastoma is a common odontogenic tumor that is locally aggressive with extensive involvement mainly in the jaw in the molar and angle region. The objective is to report about a 72-year-old leucoderm man with asymptomatic increase on the right side of face, a victim of multicystic ameloblastoma. Tomography revealed a hypodense, multiloculated image with cortical perforation. After the diagnosis was confirmed by incisional biopsy results, bloc resection was performed, with disarticulation and reconstruction with customized temporomandibular joint (TMJ) prosthesis. The treatment was performed at 2 surgical times: resection of the lesion and temporary reconstruction of the defect with a 2.4-mm reconstruction plate, bicortical screws, and polymethylmethacrylate in the portion of the mandibular branch and condyle, and 6 months after it was definitively rebuilt with a custom TMJ prosthesis. In the postoperative period of 2 years after the second surgical act there is no evidence of infection or recurrence of the lesion; it has a facial contour and a satisfactory masticatory function.
Published Version
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