MANDIBULAR AMELOBLASTOMA RECONSTRUCTION: A CASE REPORT WITH 10-YEAR FOLLOW-UP

Keywords: Ameloblastoma, Mandible reconstruction, Free grafts, Case report

Abstract

Ameloblastoma is a benign dental tumor mostly found in the mandible, with several variations. The treatment of this pathology ranges from simple enucleation to resection of large sections of the affected bone. There are several options for correcting the sequelae of ameloblastoma treatment, including the use of grafts and currently microvascular free flaps, which have become the standard treatment. This report describes a clinical case of a large mandibular ameloblastoma, which was resected with safety margins about 10 years ago, reconstructed by free grafts in successive surgical times and rehabilitated using removable prostheses. The question is then what the best option is today in the reconstruction of patients affected by this type of pathologies, taking into account emerging options, the clinicians’ learning curve and the patients’ resources.

|Abstract
= 62 veces | PDF (ESPAÑOL (ESPAÑA))
= 31 veces|

Downloads

Download data is not yet available.

Author Biographies

Julio Alberto Villanueva Maffei, Facultad de Odontología. Univesidad de Chile

Department of Oral and Maxillofacial Surgery and Traumatology, Universidad de Chile, Santiago, Chile.

Cochrane Center Associate, School of Dentistry, Universidad de Chile.
Maxillofacial Surgery Unit, San Borja Arriarán Clinical Hospital.

Matías Dallaserra Albertini, Universidad de Chile

Department of Oral and Maxillofacial Surgery and Traumatology, Universidad de Chile, Santiago, Chile

Cochrane Center Associate, School of Dentistry, Universidad de Chile

Stefan Domancic Alucema, Universidad de Chile

Department of Oral and Maxillofacial Surgery and Traumatology, Universidad de Chile, Santiago, Chile

Gabriel Zamorano Young, Universidad de Chile

Department of Oral and Maxillofacial Surgery and Traumatology, Universidad de Chile, Santiago, Chile

Sebastián Zapata Baeza, Universidad de Chile

Department of Oral and Maxillofacial Surgery and Traumatology, Universidad de Chile, Santiago, Chile

References

Riley D, Barber M, Kienle G, Aronson JK, von Schoen-Angerer T, Tugwell P et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol. 2017; 89: 218-35. DOI: https://doi.org/10.1016/j.jclinepi.2017.04.026

Masthan KMK, Anitha N, Krupaa J, Manikkam S. Ameloblastoma. J Pharm Bioallied Sci. 2015; 7(Suppl 1): S167–70. DOI: https://dx.doi.org/10.4103%2F09757406.155891

Wright J, Vered M. Update from the 4th edition of the world health organization classification of head and neck tumours: odontogenic and maxillofacial bone tumors. Head and Neck Pathol. 2017; (11): 68-77. DOI: https://doi.org/10.1007/s12105-017-0794-1

Bianchi B, Ferri A, Ferrari S, Leporati M, Copelli C, Ferri T et al. Mandibular resection and reconstruction in the management of extensive ameloblastoma. J Oral Maxillofac Surg. 2013; 71(3): 528–37. DOI: https://doi.org/10.1016/j.joms.2012.07.004

Tamme T, Tiigimäe J, Leibur E. Mandibular ameloblastoma: a 28-years retrospective study of the surgical treatment results. Minerva Stomatol. 2010; 59(11-12): 637–43.

Soto Góngora S, Texis González MG. Injertos óseos: una alternativa efectiva y actual para la reconstrucción del complejo cráneo-facial. Rev Cuba Estomatol. 2005; 42(1).

Ozaki W, Buchman SR. Volume maintenance of onlay bone grafts in the craniofacial skeleton: microarchitecture versus embryologic origin. Plast Reconstr Surg. 1998; 102(2): 291–9. DOI: https://doi.org/10.1097/00006534-199808000-00001

Bak M, Jacobson AS, Buchbinder D, Urken ML. Contemporary reconstruction of the mandible. Oral Oncol. 2010; 46(2): 71–6. DOI: https://doi.org/10.1016/j.oraloncology.2009.11.006

Pattani KM, Byrne P, Boahene K, Richmon J. What makes a good flap go bad? a critical analysis of the literature of intraoperative factors related to free flap failure. Laryngoscope. 2010; 120(4): 717–23. DOI: https://doi.org/10.1002/lary.20825

Wong AK, Joanna Nguyen T, Peric M, Shahabi A, Vidar EN, Hwang BH et al. Analysis of risk factors associated with microvascular free flap failure using a multi-institutional database. Microsurgery. 2015; 35(1): 6–12. DOI: https://doi.org/10.1002/micr.22223

Klosterman T, Siu E, Tatum S. Free flap reconstruction experience and outcomes at a low-volume institution over 20 years. Otolaryngol Head Neck Surg. 2015; 152(5): 832–7. DOI: https://doi.org/10.1177/0194599815573726

Hendra FN, Natsir Kalla DS, Van Cann EM, de Vet HCW, Helder MN, Forouzanfar T. Radical vs conservative treatment of intraosseous ameloblastoma: systematic review and meta-analysis. Oral dis. 2018. DOI:

https://doi.org/10.1111/odi.13014

Tang JA, Rieger JM, Wolfaardt JF. A review of functional outcomes related to prosthetic treatment after maxillary and mandibular reconstruction in patients with head and neck cancer. Int J Prosthodont. 2008; 21(4): 337–54.

Zhu J, Yang Y, Li W. Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Br J Oral Maxillofac Surg. 2014; 52(2): 163–7. DOI: https://doi.org/10.1016/j.bjoms.2013.10.012

Sodek J, Mckee MD. Molecular and cellular biology of alveolar bone. Periodontol 2000. 2000; 24(1): 99–126.

Published
2019-07-09
How to Cite
Villanueva Maffei, J. A., Dallaserra Albertini, M., Domancic Alucema, S., Zamorano Young, G., & Zapata Baeza, S. (2019). MANDIBULAR AMELOBLASTOMA RECONSTRUCTION: A CASE REPORT WITH 10-YEAR FOLLOW-UP. Revista Facultad De Odontología Universidad De Antioquia, 31(1-2). https://doi.org/10.17533/udea.rfo.v31n1-2a15