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Treatment of ameloblastoma of the jaws
J Pinsolle1, V Michelet, B Coustal
1Department of Maxillofacial and Plastic Surgery, Centre Hospitalier Universitaire de Bordeaux, France.
Objective:
To evaluate treatment of ameloblastoma of the jaws and suggest a more aggressive approach for well-defined cases.
Setting:
Referral center.
Patients:
Forty-one patients were treated for ameloblastoma of the jaws.
Results:
Seventeen patients had a local recurrence; 14 had initial curettage and three had initial resection. Seven patients had two or more recurrences. Eight patients underwent radiotherapy; two died of progressive disease.
Conclusions:
Ameloblastoma had a high rate of local recurrence if not adequately removed. Segmental resection for the mandible and partial maxillectomy for the maxilla should be the primary treatment; marginal resection is appropriate only for small primary tumors. For multiple recurrences, radiotherapy is effective, and surgery and radiotherapy (50 Gy postoperatively) should be used in selected cases.