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Maxillary ameloblastoma: case report.
F J Scaccia1, M Strauss, J Arnold
1Department of Otolaryngology--Head and Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, OH 44106.
American Journal of Otolaryngology
|January 1, 1991
Summary
Maxillary ameloblastoma, a rare odontogenic tumor, can infiltrate and recur, even spreading distantly. This review highlights its aggressive potential and the need for radical therapy for optimal control.
Area of Science:
- Oral Surgery
- Oncology
- Pathology
Background:
- Ameloblastoma of the maxilla is a rare epithelial tumor of odontogenic origin.
- While considered benign, it exhibits infiltrative growth, recurrence, and potential for distant spread.
Observation:
- A retrospective review of four nasomaxillary tumor cases (1980-1988) identified maxillary ameloblastoma.
- Patients ranged from 16 to 66 years old, with disease extent varying from sinus cysts to ethmoid involvement.
Findings:
- Follow-up (2-13 years) revealed varied disease courses, including persistent intracranial tumors despite surgery.
- Maxillary ameloblastoma demonstrates a potential for aggressive behavior and challenging management.
Implications:
- This study underscores the infiltrative nature and recurrence potential of maxillary ameloblastoma.
- Recommendations for radical surgical therapy are suggested to improve long-term disease control.