Su Tong, Liu Bing, Zhao Ji-hong, Zhang Wen-feng, Zhao Yi-fang
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, Hubei Province, China.
Shanghai Kou Qiang Yi Xue. 2006 Feb;15(1):109-11.
Three cases of ameloblastoma recurrence in the grafted iliac bone were treated at the Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University from 1989 to 2005. Pathologically, two cases were follicular type and the other one was plexiform type. The recurrences occurred in the bone grafts in 3, 4 and 16 years respectively after the primary operation. It is recommended that block excision with at least 1cm of normal bone be required when the resultant defect is reconstructed with autogenous bone graft. A long-term followed-up of more than 10 years at regular intervals is also recommended after the operation of classic ameloblastoma.
1989年至2005年期间,武汉大学口腔医院口腔颌面外科收治了3例髂骨移植后成釉细胞瘤复发的病例。病理检查显示,2例为滤泡型,1例为丛状型。复发分别发生在初次手术后3年、4年和16年的骨移植部位。建议在采用自体骨移植修复骨缺损时,进行至少1cm正常骨的整块切除。对于经典型成釉细胞瘤手术后,也建议进行定期的10年以上长期随访。