Dhupar Vikas, Akkara Francis, Khandelwal Pulkit
Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India.
Department of Oral and Maxillofacial Surgery, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.
Eur J Dent. 2016 Apr-Jun;10(2):277-280. doi: 10.4103/1305-7456.178308.
Adenomatoid odontogenic tumor (AOT) is a rare tumor comprising only 3% of all odontogenic tumors. It is a benign, encapsulated, noninvasive, nonaggressive, slowly growing odontogenic lesion associated with an impacted tooth. These lesions may go unnoticed for years. The usual treatment is enucleation and curettage, and the lesion does not recur. Here, we present a rare case of an unusually large aggressive AOT of maxilla associated with impacted third molar. The authors also discuss clinical, radiographic, histopathologic, and therapeutic features of the case. Subtotal maxillectomy with simultaneous reconstruction of the surgical defect with temporalis myofascial flap was planned and carried out.
腺样牙源性肿瘤（AOT）是一种罕见的肿瘤，仅占所有牙源性肿瘤的3%。它是一种良性、有包膜、非侵袭性、生长缓慢的牙源性病变，与阻生牙有关。这些病变可能多年未被发现。通常的治疗方法是摘除和刮除，且病变不会复发。在此，我们报告一例罕见的上颌骨异常巨大且侵袭性的AOT病例，该病例与阻生第三磨牙有关。作者还讨论了该病例的临床、影像学、组织病理学和治疗特征。计划并实施了上颌骨次全切除术，同时用颞肌筋膜瓣修复手术缺损。
