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Ameloblastoma Management: "Horses for Courses" Protocol.

Suresh Menon¹, Veerendra Kumar¹, S Archana¹

¹Department of Oral and Maxillofacial Surgery, Vydehi Institute of Dental Sciences, Bangalore, 560043 India.

Journal of Maxillofacial and Oral Surgery

|August 3, 2019

Summary

Conservative treatment for ameloblastoma, including enucleation, shows promising results with low recurrence rates. This approach offers a better quality of life for patients, particularly younger individuals, when combined with long-term follow-up.

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Area of Science:

Oral and Maxillofacial Surgery
Oncology
Dental Research

Background:

Ameloblastoma is a benign odontogenic tumor with a potential for recurrence.
Treatment strategies for ameloblastoma vary based on lesion extent and patient factors.
Minimizing patient morbidity is a key consideration in treatment planning.

Purpose of the Study:

To review 45 cases of ameloblastoma treated at a tertiary care center.
To evaluate treatment outcomes based on the extent of pathology.
To assess recurrence rates and patient morbidity associated with different treatment modalities.

Main Methods:

Retrospective study of 45 ameloblastoma patients (2009-2018).
Initial phase: resection and reconstruction for all patients.

Keywords:

Ameloblastoma Carnoy’s solution Enucleation Recurrence Resection

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Later phase: tailored treatment (conservative vs. radical) based on lesion extent.

Main Results:

45 patients (12-65 years, avg. 36) included; 30 males, 15 females.
18 patients received conservative treatment (enucleation/ostectomy/cauterization).
16 patients received radical management (resection).
Only 3 recurrences observed in the conservative group over 3-year follow-up.

Conclusions:

Conservative treatment for ameloblastoma can be effective with low recurrence rates.
This approach leads to reduced patient morbidity and improved quality of life.
Long-term follow-up is crucial for patients undergoing conservative management.