Surgical management of ameloblastoma. Review of literature.

D Neagu,Á Penedo-Vazquez,O Escuder-De La Torre,I Vazquez-Mahia,G Rubin-Roger,Jl Cedrun-Cembranos,R Luaces-Rey,N Carral-Roura

doi:10.4317/jced.55452

D Neagu, Á Penedo-Vazquez + Show 6 more

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https://doi.org/10.4317/jced.55452

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Abstract

BackgroundAmeloblastoma is an odontogenic tumor that represents 1% of all tumors in the oral cavity and it is clinically classified in three types. Currently, solid and multi-cystic are considered locally aggressive, with high recurrence rates with conservative treatment.Material and MethodsObjective of the present review is to assess whether the surgical treatment should be conservative or radical. English articles published between 2009-2014, with available summary and in humans were included.Results241 articles were found, 188 were excluded because analyzing. 53 articles were analyzed and finally 14 were selected for this review.ConclusionsThe optimal surgical treatment of ameloblastoma should minimize recurrences, restore function and aesthetic and present a minimal morbidity in the donor area. Surgical planning must be performed based on the patient comorbidities, the size and location of the tumor, the techniques available for reconstruction and the surgeon’s experience-Radical surgery appears to be the most recommended option in multicystic / solid and advanced unicystic tumors, along with long-term follow-up for the possibility of recurrence beyond 10 year. Conservative surgery combined with a support technique and long-term follow-up is reserved for the unicystic and multicystic / solid types if small extension. Prospective and randomized studies for ameloblastoma are recommended. Key words:Ameloblastoma, surgery, enucleation, radical.

Highlights

Ameloblastoma is an odontogenic tumor that represents 1% of all tumors fin the oral cavity, with an incidence of 0.5 per million inhabitants per year (1,2)
The results showed a recurrence of 60-80% with simple enucleation of solid and multicystic ameloblastoma, the treatment should be the segmental resection with 1 cm of margin to the bone, including a soft tissue margin
If we refer to the type of tumor, the unicystic ameloblastoma is advisable to treat by means of enucleation and support technique

Summary

Introduction

Ameloblastoma is an odontogenic tumor that represents 1% of all tumors fin the oral cavity, with an incidence of 0.5 per million inhabitants per year (1,2). It is a benign tumor, which usually occurs between the third and fifth decades, with the same frequency in men and women, and the location is 80% - 20% in the jaw and maxillary respectively (3,4). It is a slow growth tumor that rarely gives metastasis It can cause destruction of the cortical bone. Unicystic ameloblastoma is less aggressive, with lower recurrence rate, and can respond better to conservative surgery (6)

Results

Discussion

Conclusion