Sannomiya Eduardo Kazuo, Silva Jorge Vicente L, Brito Antonio Albuquerque, Saez Daniel Martinez, Angelieri Fernanda, Dalben Gisele da Silva
Department of Oral and Maxillofacial Radiology, São Paulo Methodist University, São Paulo, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Jul;106(1):e36-40. doi: 10.1016/j.tripleo.2008.01.014.
Ameloblastoma is a benign locally aggressive infiltrative odontogenic lesion. It is characterized by slow growth and painless swelling. The treatment for ameloblastoma varies from curettage to en bloc resection, and the reported recurrence rates after treatment are high; the safety margin of resection is important to avoid recurrence. Advances in technology brought about great benefits in dentistry; a new generation of computed tomography scanners and 3-dimensional images enhance the surgical planning and management of maxillofacial tumors. The development of new prototyping systems provides accurate 3D biomodels on which surgery can be simulated, especially in cases of ameloblastoma, in which the safety margin is important for treatment success. A case of mandibular follicular ameloblastoma is reported where a 3D biomodel was used before and during surgery.
成釉细胞瘤是一种良性的、局部侵袭性的浸润性牙源性病变。其特点是生长缓慢且无痛性肿胀。成釉细胞瘤的治疗方法从刮除术到整块切除术不等,报道的治疗后复发率很高;切除的安全切缘对于避免复发很重要。技术进步给牙科带来了巨大益处;新一代计算机断层扫描仪和三维图像增强了颌面肿瘤的手术规划和管理。新的原型制作系统的发展提供了精确的三维生物模型,可在其上模拟手术,特别是在成釉细胞瘤病例中,安全切缘对治疗成功至关重要。本文报告一例下颌滤泡型成釉细胞瘤病例,术前和术中使用了三维生物模型。