Bhandarwar Ajay H, Bakhshi Girish D, Borisa Ashok D, Wagh Amol, Kapoor Rajat, Kori Channabasappa G
Department of Surgery and.
Department of Plastic & Reconstructive Surgery, Grant Medical College & Sir JJ Group of Hospitals, India.
Clin Pract. 2012 Feb 14;2(1):e30. doi: 10.4081/cp.2012.e30. eCollection 2012 Jan 1.
Ameloblastoma is a benign odontogenic tumor. These are usually asymptomatic until a large size is attained. Ameloblastoma has tendency to spread locally and has a high recurrence rate. Majority of ameloblastomas (80%) arise from the mandible. Ameloblastoma arising from anterior mandibular region (symphysis-menti) is rare. Very few cases of midline anterior ameloblastomas are reported in the literature. They often require wide local excision. Reconstruction of mandible in these cases is challenging. We present a case of mandibular ameloblastoma arising from symphysis-menti. Patient underwent wide surgical excision of the tumor followed by immediate reconstruction using free fibular vascular flap, stabilized with titanium reconstructive plates. A brief case report ands review of literature is presented.
成釉细胞瘤是一种良性牙源性肿瘤。这些肿瘤通常在长得很大之前没有症状。成釉细胞瘤有局部扩散的倾向,复发率很高。大多数成釉细胞瘤(80%)起源于下颌骨。起源于下颌前部区域(颏联合)的成釉细胞瘤很少见。文献中报道的中线前部成釉细胞瘤病例非常少。它们通常需要广泛的局部切除。在这些病例中,下颌骨的重建具有挑战性。我们报告一例起源于颏联合的下颌成釉细胞瘤病例。患者接受了肿瘤的广泛手术切除,随后立即使用游离腓骨血管瓣进行重建,并用钛重建板固定。本文给出了一份简要的病例报告并对文献进行了综述。