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Unicystic ameloblastoma in an infant: a management dilemma

Ariel Israel Hirschhorn1, Marilena Vered, Amos Buchner

  • 1Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Shlomo Taicher), The Chaim Sheba Medical Center, Tel Hashomer, Israel.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|February 14, 2013
PubMed

Insights

Conservative management of a rare unicystic ameloblastoma in an infant avoided surgery, prioritizing mandibular growth and tooth development. Ongoing monitoring shows no recurrence in this youngest reported patient.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Pediatric Dentistry
  • Oncology

Background:

  • Unicystic ameloblastoma is a rare odontogenic tumor, with the mural subtype presenting unique management challenges, especially in pediatric patients.
  • Early surgical intervention in infants can impede critical mandibular growth and dental development.

Observation:

  • A 10-month-old female presented with a rare unicystic ameloblastoma (mural subtype), the youngest documented case.
  • Conservative management was chosen over immediate aggressive surgery to preserve facial and dental development.

Findings:

  • The patient was managed conservatively with close monitoring and a plan for delayed surgical intervention if recurrence occurred.
  • At 3.5 years old, the patient shows no evidence of tumor recurrence, indicating successful conservative management.

Implications:

  • Conservative, non-surgical management may be a viable option for unicystic ameloblastoma in very young children.
  • Prioritizing growth and development through watchful waiting can lead to favorable outcomes, reducing the need for extensive surgical procedures in infants.

Keywords:
Infants and childrenManagementOdontogenic tumoursUnicystic ameloblastoma

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