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Recurrent Ameloblastoma: A Surgical Challenge.
Chithra Aramanadka1, Abhay Taranath Kamath1, Adarsh Kudva1
1Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Karnataka, India.
Case Reports in Dentistry
|April 24, 2018
Summary
Recurrent ameloblastoma poses a significant challenge, even after radical resection. This study highlights recurrence in bone grafts and the infratemporal fossa, emphasizing intraoperative imaging for effective management.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncology
- Pathology
Background:
- Ameloblastoma, a benign odontogenic tumor, exhibits local aggressiveness and a high recurrence rate.
- Treatment decisions for ameloblastoma are guided by its histologic subtype, with radical therapy recommended for solid variants.
Observation:
- Two cases of recurrent ameloblastoma following radical resection are presented.
- Recurrence occurred within a bone graft used for reconstruction and in the infratemporal fossa.
Findings:
- Solid ameloblastomas have a high risk of recurrence, even after en bloc resection.
- Intraoperative radiography of frozen soft tissue margins is crucial for managing ameloblastoma recurrence.
Implications:
- These cases underscore the importance of vigilant follow-up and advanced imaging in ameloblastoma management.
- Intraoperative assessment of surgical margins can improve treatment outcomes and reduce recurrence rates for ameloblastoma.
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