Abstract
Ameloblastomas are benign dental tumors, constituting 15% of oral neoplasms, most frequent odontogenic tumor of the jaw. Patient presenting at a late stage usually presents with large swelling with facial deformity. We present a case of 50 years old male who presented with recurrent ameloblastoma on the left side of the mandible causing facial disfigurement and functional impairment. Adequate removal of the tumor required hemimandibulectomy and intermaxillary fixation was done without any bony reconstruction. We would like to focus on the excellent postoperative result with regard to facial symmetry and functional improvement obtained in this case, though the available management protocols differ and are more advanced in current scenario. This case report gives hope and guidance to the surgeons who face difficulty in managing the deforming benign bony tumors due to the unavailability of facility and funds to reconstruct.
Highlights
WHO defines the solid/multicystic ameloblastoma as a slowly growing, locally invasive, epithelial odontogenic tumour of the jaws with a high rate of recurrence if not removed adequately, but with virtually no tendency to metastasize [1]
In case of large sized tumors, extensive surgical resection usually results in large tissue defects which lead to severe aesthetic and functional impairment
We presented a case of huge ameloblastoma which was involving the left half of the mandible causing facial deformity and malocclusion
Summary
WHO defines the solid/multicystic ameloblastoma as a slowly growing, locally invasive, epithelial odontogenic tumour of the jaws with a high rate of recurrence if not removed adequately, but with virtually no tendency to metastasize [1]. In case of large sized tumors, extensive surgical resection usually results in large tissue defects which lead to severe aesthetic and functional impairment. The key to the treatment lies in attaining wide local resection of the tumor and reconstruction of the patient’s appearance with minimal functional limitations. It demands the availability of well equipped plastic surgery reconstruction teams which often poses limitations for the surgeons to proceed with excision. We presented a case of huge ameloblastoma which was involving the left half of the mandible causing facial deformity and malocclusion. We have tried to present a concise review of the relevant literature
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have