El Sayed Mohamed, Touny Mohamed, Ibrahim Nesreen, Al-Azzawi Zainab
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Benha University, Benha, Egypt; Department of Oral and Maxillofacial Surgery Nasser Institute Hospital, Cairo, Egypt.
Department of Oral and Maxillofacial Surgery Nasser Institute Hospital, Cairo, Egypt.
Int J Surg Case Rep. 2020;72:448-453. doi: 10.1016/j.ijscr.2020.06.027. Epub 2020 Jun 12.
Ameloblastoma is a benign locally invasive odontogenic tumor. It is the most common odontogenic tumor [1]. Usually, in the middle-aged population, it is more common in the mandible with about 5-20% occurring in the maxilla. We report a case of maxillary unicystic ameloblastoma in a 3.5-year-old girl. Which presented clinically as a large facial swelling causing severe facial deformation and pressure symptoms on the left eye. CT scan showed that the swelling extended to involve the orbital floor. The lesion was diagnosed and confirmed by incisional biopsy then was successfully managed by maxillectomy and immediate reconstruction using the buccal pad of fat. One year follow up with no further complaints and no recurrence was observed. "Written informed consent was obtained from the patient guardians for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request".
成釉细胞瘤是一种良性的局部侵袭性牙源性肿瘤。它是最常见的牙源性肿瘤[1]。通常,在中年人群中,它在下颌骨更为常见,约5 - 20%发生在上颌骨。我们报告一例3.5岁女孩的上颌单囊性成釉细胞瘤。临床上表现为巨大的面部肿胀,导致严重的面部畸形和左眼受压症状。CT扫描显示肿胀延伸至眶底。通过切开活检诊断并确诊该病变,然后通过上颌骨切除术和使用颊脂垫立即重建成功进行了治疗。随访一年,未观察到进一步的不适,也未复发。“已获得患者监护人的书面知情同意,以发表本病例报告及相关图像。如有需要,本杂志主编可查阅书面同意书副本”。