A Modified Surgical Approach for the Treatment of Classic Ameloblastoma in Young Patients
Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v3i2.844
Abstract
Objective — To analyze the clinical efficacy and application characteristics of the sequence method in the treatment of young patients with large cystic classic ameloblastoma (AM). Methods — 16 young patients with large cystic classic AM treated in the Department of Stomatology of the First Affiliated Hospital of Bengbu Medical College from February 2012 to August 2019 were selected. According to the patient's age, imaging examination, and pathological diagnosis, the sequence method was used for treatment. The patients were followed up regularly after the operation. Results — The patients were followed up for more than 2 years. Of the 16 patients, 13 had no recurrence after fenestration + first curettage, 3 had recurrence after fenestration + first curettage, and 2 had no recurrence after secondary curettage. One patient recurred after repeated curettage and followed up for 10 years and underwent osteotomy. Conclusion — Sequence method can play a good therapeutic effect on young large cystic classic AM.
Keywords
Keywords: Classic AM; Sequence method; The young; Fenestration decompression; Curettage
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[6]Neagu D, Escuder-de la Torre O, Vázquez-Mahía I, et al. Surgical management of ameloblastoma. Review of literature [J]. JClin Exp Dent, 2019, 11(1): e70-e75.
[7]Haq J, Siddiqui S, McGurk M. Argument for the conservative management of mandibular ameloblastomas[J]. Br J Oral Maxillofac Surg. 2016,54(9):1001-1005.
[8]Al-Rawi Natheer H, Al-Siraj Ammar K, Majeed Ahlam H. Comparison of osteoclastogenesis and local invasiveness of ameloblastoma and keratocystic odontogenic tumor[J]. European journal of dentistry. 2018,12(1):36-42.
[9]El-Naggar AK, Chan JKC, Grandis JR, et al. WHO classification of head and neck tumors[M]. Lyon: IARC Press, 2017:217-218.
[10]Arora S, Kanneppady S K, Banavar S R,et al. Mandibular hemangio-ameloblastoma[J]. QJM :monthly journal of the Association of Physicians. 2019,112(8):615-616.
[11]Zhang LL, Yang R, Zhang L, Li W, MacDonald-Jankowski D, Poh CF. Dentigerous cyst: a retrospective clinicopathological analysis of 2082 dentigerous cysts in British Columbia, Canada[J]. Int J Oral Maxillofac Surg. 2010,39(9):878-882.
[12]Bedi RS, Chugh A, Pasricha N. Ameloblastic carcinoma of maxilla[J]. Natl J Maxillofac Surg. 2012,3(1):70-74.
[13]Ooi A, Feng J, Tan HK, et al. Primary treatment of mandibular ameloblastoma
[14]with segmental resection and free fibula reconstruction: achieving satisfactory
[15]outcomes with low implanteprosthetic rehabilitation [J]. Plast Reconstr Aesthet
[16]Surg. 2014, 67(4): 498-505.
[17]Mak W, Webb D, Al-Salihi S, et al. Sinonasal inverted papilloma recurrence rates and evaluation of current staging systems[J]. Rhinology. 2018;56(4):407-414.
[18]Embaló Bubacar, Parize Hian Nivaldo, Rivero Elena Riet Correa. Evaluation of cell proliferation in cystic lesions associated with impacted third molars[J]. Microscopy research and technique. 2018,81(11):1241-1245.
[19]Cakarer Sirmahan, Isler S Cemil, Keskin Basak, et al. Treatment For The Large Aggressive Benign Lesions Of The Jaws[J]. Journal of maxillofacial and oral surgery. 2018,17(3):372-378.
[20]Shinpei Matsuda, Hitoshi Yoshimura, Hisato Yoshida, et al. Three-Dimensional Volumetric Analysis of Unicystic Ameloblastoma before and after Marsupialization Using OsiriX Software[J]. Journal of Hard Tissue Biology. 2019,28(2):233-236.
[21]Miguel Gómez-Polo, Rocío, et al. Does Length, Diameter, or Bone Quality Affect Primary and Secondary Stability in Self-Tapping Dental Implants?[J]. Journal of Oral & Maxillofacial Surgery, 2016,74(7):1344-53.
[22]Lawal AO, Adisa AO, Olajide MA. Cystic ameloblastoma:A Clinico-pathologic review [J]. Annals of badan Postgraduate Medicine.2014,12(1): 49-53.
[23]Faden DL, Algazi A. Durable treatment of ameloblastoma with single agent BRAFi Re: Clinical and radiographic response with combined BRAF-targeted therapy in stage 4 ameloblastoma[J]. J Natl Cancer Inst,2016,109(1):djw190.
[24]Kurppa KJ, Catón J, Morgan PR, et al. High frequency of BRAF V600E mutations in ameloblastoma[J]. J Pathol.2014,2329(5):492-498.
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