Management of Large Mandibular Ameloblastoma Crossing Midline: Reconstructed by Bilateral Iliac Crest Graft: A Rare Entity.
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Date
2015-04
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Abstract
Ameloblastoma is a true neoplasm of odontogenic epithelial origin. It is the second most common odontogenic neoplasm. It’s incidence
approximately 1% of all oral tumors and 18% of all odontogenic tumors. More than 80% of cases of ameloblastoma occur in mandible. The
ameloblastoma occurs in three variants solid or multicystic, unicystic, and peripheral. A painless expansion of the jaws is the most common
clinical presentation. The correct diagnosis can be easily made with the help of plain X-rays and tissue biopsy. The standard management
of ameloblastoma is marginal resection but sometimes a large tumor requires complete resection of affected part. Untreated tumors may
lead to tremendous facial disfigurement, a severe malocclusion and pathological fractures of the jaw. Here we present a case of a young
man with the chief complaint of facial asymmetry. The orthopantomogram of the patient was showing a multilocular radiolucency with
Buccal and lingual cortical expansion. A diagnosis was made on the basis of the biopsy as multicystic ameloblastoma, and resection of
the mandible was carried out. The mandibular primary reconstruction was done with avascular bilateral iliac crest bone graft. Long term
prognosis showed satisfactory healing and good facial esthetics.
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Keywords
Ameloblastoma, Iliac crest, Jaw reconstruction, Mandible, Multicystic non-vascularized bone graft
Citation
Patel Viral, Managutti Anil, Menat Shailesh, Managutti Sunita, Patel Jigar. Management of Large Mandibular Ameloblastoma Crossing Midline: Reconstructed by Bilateral Iliac Crest Graft: A Rare Entity. IJSS Case Reports & Reviews. 2015 Apr; 1(11): 58-62.