Singh Madhumati, Shah Anjan, Bhattacharya Auric, Raman Ragesh, Ranganatha Narahari, Prakash Piyush
Department of Oral and Maxillofacial Surgery, Raja Rajeswari Dental College, Bangalore 560074, India.
Case Rep Dent. 2014;2014:121032. doi: 10.1155/2014/121032. Epub 2014 Dec 7.
Ameloblastoma is the second most common benign odontogenic tumour (Shafer et al. 2006) which constitutes 1-3% of all cysts and tumours of jaw, with locally aggressive behaviour, high recurrence rate, and a malignant potential (Chaine et al. 2009). Various treatment algorithms for ameloblastoma have been reported; however, a universally accepted approach remains unsettled and controversial (Chaine et al. 2009). The treatment algorithm to be chosen depends on size (Escande et al. 2009 and Sampson and Pogrel 1999), anatomical location (Feinberg and Steinberg 1996), histologic variant (Philipsen and Reichart 1998), and anatomical involvement (Jackson et al. 1996). In this paper various such treatment modalities which include enucleation and peripheral osteotomy, partial maxillectomy, segmental resection and reconstruction done with fibula graft, and radical resection and reconstruction done with rib graft and their recurrence rate are reviewed with study of five cases.
成釉细胞瘤是第二常见的牙源性良性肿瘤（Shafer等人，2006年），占颌骨所有囊肿和肿瘤的1%-3%，具有局部侵袭性、高复发率和恶性潜能（Chaine等人，2009年）。已有多种成釉细胞瘤的治疗方案被报道；然而，一种普遍接受的方法仍未确定且存在争议（Chaine等人，2009年）。所选择的治疗方案取决于肿瘤大小（Escande等人，2009年以及Sampson和Pogrel，1999年）、解剖位置（Feinberg和Steinberg，1996年）、组织学变异（Philipsen和Reichart，1998年）以及解剖受累情况（Jackson等人，1996年）。本文通过对5例病例的研究，回顾了包括摘除术和周边截骨术、部分上颌骨切除术、腓骨移植节段性切除与重建以及肋骨移植根治性切除与重建等多种此类治疗方式及其复发率。
