Chaudhuri P
J Laryngol Otol. 1975 Apr;89(4):457-65. doi: 10.1017/s0022215100080592.
A clinical study was made of three cases of Ameloblastoma (Adamantinoma) of the maxilla. One case presented with oro-antral fistula following extraction of a molar tooth. Extensive bone destruction and involvement of ethmoidal air sinuses and nasal cavity was seen in one of the patients. At times histological diagnosis can be difficult; therefore, accurate diagnosis should be obtained by an experienced histopathologist. Partial maxillectomy with a wide margin of healthy bone should be the choice of treatment in the majority of cases. There tumours are sensitive to deep-X-ray to a varying degree. One should consider radiotherapy post-operatively if growth has been excised inadequately. Radiotherapy may be helpful when surgery is contraindicated.
对三例上颌骨成釉细胞瘤(造釉细胞瘤)进行了临床研究。其中一例在拔除磨牙后出现口腔上颌窦瘘。在一名患者中可见广泛的骨质破坏以及筛窦和鼻腔受累。有时组织学诊断可能困难;因此,应由经验丰富的组织病理学家做出准确诊断。在大多数情况下,应选择切除边缘带有较宽健康骨组织的部分上颌骨切除术。这些肿瘤对深部X线有不同程度的敏感性。如果肿瘤切除不彻底,应考虑术后放疗。当手术禁忌时,放疗可能会有帮助。