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Ameloblastoma: clinical presentation, multidisciplinary management and outcome
Abelardo Medina1, Ignacio Velasco Martinez2, Benjamin McIntyre1
1Division of Plastic Surgery, Department of Surgery, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Case Reports in Plastic Surgery & Hand Surgery
|March 8, 2021
Summary
Radical ameloblastoma excision and immediate reconstruction are effective. Tumor size and location, not patient factors, impact surgical complexity and outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Oncology
Background:
- Ameloblastoma is a common odontogenic tumor.
- Radical excision and immediate reconstruction are standard treatment modalities.
Observation:
- This study evaluated 21 patients undergoing radical ameloblastoma excision with immediate reconstruction.
- Factors such as comorbidities, alcohol/tobacco use, and BMI were assessed for their impact on outcomes.
Findings:
- Patient-specific factors like comorbidities, alcohol/tobacco consumption, and BMI did not significantly affect surgical outcomes.
- Giant ameloblastomas (≥5 cm) and tumors involving bony curvatures were associated with increased surgical complexity, complications, and longer hospital stays.
Implications:
- Surgical planning for ameloblastoma should prioritize tumor size and location.
- These findings can help optimize patient management and resource allocation in treating ameloblastoma.
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