Franco A, Riscala S, Kahoudji M, Croue A
Service de stomatologie et de chirurgie maxillo-faciale, CHU d'Angers, 4, rue Larrey, 49100 Angers, France.
Rev Stomatol Chir Maxillofac. 2009 Dec;110(6):359-61. doi: 10.1016/j.stomax.2009.03.011. Epub 2009 Nov 22.
Ameloblastic fibro-odontoma is a rare mixed odontogenic tumor. It occurs predominantly in children and young adults. This article reports a case of ameloblastic fibro-odontoma affecting a young boy who was treated by endoscopy.
An 11-month-old child was admitted for a right mandibular rapidly growing mass. Computed tomography confirmed the presence of a large radiopaque mass on the right mandible containing compartmented tooth-germs. A biopsy exeresis was performed to completely remove the tumor with an endonasal endoscope. The histological diagnosis was an ameloblastic fibro-odontoma.
We performed the enucleation with a nasal endoscope to make sure that the entire lesion had been removed. Bone resection was minimal which should decrease the risk of growth disorders. The ameloblastic fibro-odontoma is a rare mixed odontogenic tumor usually asymptomatic and slow growing. Histopathology proves the diagnosis. The treatment is curettage, preserving the adjacent teeth.
成釉细胞纤维牙瘤是一种罕见的混合性牙源性肿瘤。主要发生于儿童和年轻人。本文报道了一例通过内镜治疗的成釉细胞纤维牙瘤患儿病例。
一名11个月大的儿童因右下颌迅速生长的肿物入院。计算机断层扫描证实右下颌有一个大的不透射线肿物，内含分隔的牙胚。采用鼻内镜进行活检切除术以完全切除肿瘤。组织学诊断为成釉细胞纤维牙瘤。
我们使用鼻内镜进行摘除术以确保整个病变已被切除。骨切除量极少，这应可降低生长障碍的风险。成釉细胞纤维牙瘤是一种罕见的混合性牙源性肿瘤，通常无症状且生长缓慢。组织病理学可证实诊断。治疗方法为刮除术，同时保留相邻牙齿。
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