Nordenram A, Landt H
Department of Oral Surgery, Karolinska Institute, Stockholm, Sweden.
Oral Surg Oral Med Oral Pathol. 1988 Jul;66(1):27-30. doi: 10.1016/0030-4220(88)90061-8.
Attention is called to the fact that in cases of large ameloblastomas systematic, careful treatment is essential. This implies proper reconstruction of the jaw and restoration of the occlusion after adequate extirpation of the tumor. A case involving a large mandibular ameloblastoma is reported. It was successfully treated, step by step, by tumor extirpation, jaw reconstruction with rib transplants and installation of titanium implants (Biotes) in the rib transplants, anterior vestibuloplasty with skin graft, and, finally, an overdenture. Carefully planned coordination of well-documented surgical and prosthetic procedures has achieved a functionally and esthetically successful result.
需要注意的是，在大型成釉细胞瘤病例中，系统、仔细的治疗至关重要。这意味着在充分切除肿瘤后，要对颌骨进行适当的重建并恢复咬合关系。本文报告了一例涉及大型下颌骨成釉细胞瘤的病例。该病例通过逐步进行肿瘤切除、用肋骨移植进行颌骨重建并在肋骨移植中植入钛种植体（生物种植体）、用皮肤移植进行前庭成形术，最后制作覆盖义齿，成功得到治疗。精心规划且记录完备的外科手术和修复程序的协调配合，取得了功能和美学上的成功结果。
