Abstract

Ameloblastoma is the most common among all oral cavity neoplasms. It is benign and happens because of a genetic malfunction of the cells responsible for the enamel, called ameloblasts. These tumors may occur in any place of the oral cavity, and often present quick growth. Surgery is the main course of treatment, seeking full tumor excision. Surgery may be associated with chemotherapy or radiation. This paper aims to report a case of bilateral total mandibulectomy of a patient with ameloblastoma. The patient had no previous medical history and had a large jaw tumor that caused sialorrhea with blood streaks, cachexia, problems with mouth occlusion, pain and anemia. Left total mandibulectomy was the first-choice treatment, but a right partial mandibulectomy was needed afterwards. However, 2 other reinterventions were necessary, which led to total bilateral mandibulectomy. In conclusion the chosen procedure was effective in bringing quality of life and well-being to the patient.

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