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Mandibular ameloblastoma treated by bone resection and immediate reconstruction
José Raphael de Moura Campos Montoro1, Marconi Gonzaga Tavares, Daniel Hardy Melo
1FMRP, USP, SP, Brazil.
Brazilian Journal of Otorhinolaryngology
|April 9, 2008
Summary
Multicystic ameloblastoma treatment involves complete mandibular resection and reconstruction. This multidisciplinary approach reduces recurrence and improves patient quality of life through functional rehabilitation.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncology
- Reconstructive Surgery
Background:
- Multicystic ameloblastoma commonly affects adults, often in the mandible.
- Inadequate reconstruction post-mandibular resection leads to significant esthetic and functional deficits.
- A multidisciplinary approach is crucial for effective ameloblastoma management.
Observation:
- A 47-year-old male patient presented with a mandibular ameloblastoma.
- The treatment involved complete resection of the affected mandibular segment.
- Reconstruction was achieved using an iliac crest bone graft secured with titanium plates and screws.
Findings:
- The study demonstrates successful total lesion excision and complete mandibular reconstruction in a single procedure.
- Osseointegrated dental implants were placed in the grafted area eight months post-reconstruction.
- This integrated approach facilitated full patient rehabilitation within a reduced timeframe.
Implications:
- Multidisciplinary treatment of ameloblastomas enhances functional and esthetic outcomes.
- Segmental resection and immediate reconstruction minimize recurrence risk.
- This protocol offers a reliable solution for mandibular defects, improving patient quality of life.
