Satyanarayana Killampalli Yashwanth V, K P Senthilnathan, Krishnan Murugesan, George Melvin, Rajamoorthy Sabari Nathan
Oral and Maxillofacial Surgery, Saveetha Dental College and Hospital, Chennai, IND.
Cureus. 2023 Jun 24;15(6):e40903. doi: 10.7759/cureus.40903. eCollection 2023 Jun.
Unicystic ameloblastoma is a slow-growing tumor originating from the odontogenic epithelium that can be localized within the lining of a cyst. It commonly affects younger individuals and is frequently found in the posterior mandible. The classification of this tumor is based on histopathological characteristics, distinguishing between the luminal, intraluminal, and mural proliferation of the odontogenic epithelium. Treatment options vary depending on the histology and can range from enucleation to resection with secondary reconstruction. In recent years, patient-specific implants have gained popularity in reconstructive surgeries, particularly in craniomaxillofacial surgery. This case report focuses on a 22-year-old female patient with a mural-type unicystic ameloblastoma. The treatment involved segmental mandibular resection with primary reconstruction using a patient-specific implant to address the mandibular defect. The postoperative healing process and condylar movement were evaluated, and the patient achieved satisfactory results. This case report provides valuable insights into the management of primary reconstruction using a patient-specific implant.
单囊性成釉细胞瘤是一种生长缓慢的肿瘤，起源于牙源性上皮，可局限于囊肿内衬。它通常影响较年轻个体，常见于下颌骨后部。该肿瘤的分类基于组织病理学特征，区分牙源性上皮的腔内、管腔内和壁内增殖。治疗方案因组织学而异，范围从摘除术到切除并二期重建。近年来，定制植入物在重建手术中越来越受欢迎，尤其是在颅颌面外科手术中。本病例报告聚焦于一名22岁患有壁型单囊性成釉细胞瘤的女性患者。治疗包括下颌骨节段性切除，并使用定制植入物进行一期重建以修复下颌骨缺损。评估了术后愈合过程和髁突运动，患者取得了满意的结果。本病例报告为使用定制植入物进行一期重建的管理提供了有价值的见解。
