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Giant neglected ameloblastoma: single stage treatment and clinicopathological review
Nicholas Kalavrezos1, David James Baldwin, D Murray Walker
1Head & Neck Unit, University College London Hospitals, 250 Euston Road, London, NW1 2PG, United Kingdom. nicholas.kalavrezos@uclh.nhs.uk
Abstract:
Giant ameloblastomas may present with massive swelling of the jaws. We report a giant ameloblastoma of the mandible in a Nigerian patient that measured 15.1x12.2x13.6cm and was managed with a single procedure. The tumour was removed by segmental mandibulectomy and reconstructed with a fibular free flap. The excess soft tissue was treated with a bilateral commissuroplasty. Single stage treatment that establishes early functional and aesthetic recovery offers advantages over multi staged procedures, and is therefore the treatment of choice for giant ameloblastomas.