The sequential treatment of extensive mandibular ameloblastoma - Case Reports in Clinical Medicine

CRCM > Vol.2 No.8, November 2013

Case Reports in Clinical Medicine

Volume 2, Issue 8 (November 2013)

ISSN Print: 2325-7075 ISSN Online: 2325-7083

Google-based Impact Factor: 0.2 Citations

The sequential treatment of extensive mandibular ameloblastoma ()

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DOI: 10.4236/crcm.2013.28127 5,106 Downloads 7,384 Views Citations

Author(s)

Ruixiu Cheng, Xingmao Fu, Jianhui Ma, Shuliang Li, Jie Yu, Kun Yan, Yang Xue

Affiliation(s)

Department of Oral Biology, School of Stomatology, The Fourth Military Medical University, Xi’an, China.
Department of Stomatology, The 89th Hospital of PLA, Weifang, China.
Institute of Traumatic Orthopedics, The 89th Hospital of PLA, Weifang, China.

ABSTRACT

Ameloblastoma is the most frequent odontogenic tumor of the jaw. If not treated, ameloblastoma can gain an enormous size and cause severe facial disfigurement and functional impairment. Here we report two patients afflicted with extensive mandibular ameloblastoma (sized in 23 cm × 18 cm × 17 cm and 15 cm × 12 cm × 10 cm, respectively). Both the patients received the same sequential treatment including radical tumor resection, simultaneous reconstruction with fibula free flap graft, vertical distraction osteogenesis on the fibula graft, placement of endosseous dental implants, and final pros-thodontic rehabilitation. It took about 15 months to finish the entire course of treatment. And after the four-year follow-up, neither soft tissue related, nor hard tissue related problems were observed. Satisfactory facial symmetry, chewing and speech functions of the patients were restored. So this sequential treatment for extensive mandibular ameloblastoma can obtain an excellent effect by the shortest time and the lowest economical cost. Furthermore, the series also can be used to reconstruct giant mandibular defects caused by different reasons.

KEYWORDS

Ameloblastoma; Mandibular Defect; Fibula Flap; Sequential Treatment

Share and Cite:

Cheng, R. , Fu, X. , Ma, J. , Li, S. , Yu, J. , Yan, K. and Xue, Y. (2013) The sequential treatment of extensive mandibular ameloblastoma. Case Reports in Clinical Medicine, 2, 484-489. doi: 10.4236/crcm.2013.28127.

Cited by

[1]	Management of Large Mandibular Ameloblastoma Crossing Midline: Reconstructed by Bilateral Iliac Crest Graft: A Rare Entity
	IJSS, 2015

[2]	Management of Large Mandibular Ameloblastoma Crossing Midline: Reconstructed by Bilateral Iliac Crest Graft: A Rare Entity.
	IJSS Case Reports & Reviews, 2015

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