Department of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo, 255036, China.
Department of Oral Pathology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
BMC Oral Health. 2024 Mar 22;24(1):378. doi: 10.1186/s12903-024-04126-8.
Ameloblastoma (AM) is the most common benign odontogenic tumor, which is more often detected in the mandible than maxilla, especially the mandibular body and mandibular angle. Pediatric AM is a rare disease, especially in patients aged 10 and younger. Compared with the mainstream osteotomy and reconstructive surgery for adult ameloblastoma, there is more room for discussion in the treatment of pediatric ameloblastoma. The postoperative functional and psychological influence can not be ignored. Especially for children in the period of growth and development, an osteotomy is often challenging to be accepted by their parents. We report two patients with ameloblastoma under 10 years old who are treated with curettage and fenestration, which is a beneficial method for children with ameloblastoma.
We present two cases of classic ameloblastoma in children. We describe in detail the patients' characteristics, treatment processes, and follow-up result. The bone formation and reconstruction in the lesion area after fenestration decompression and curettage are recorded at every clinic review. The surgical details and principles of curettage and decompression are also described and discussed. The two patients have good bone shape recovery and no recurrence.
Children are in the growth and development period and possess an extremely strong ability of bone formation and reconstruction. Based on the principles of minimally invasive and functional preservation, we believe that curettage combined with decompression can be the first choice for treating AM in children, especially for mandibular lesions.
成釉细胞瘤（AM）是最常见的良性牙源性肿瘤，多发生于下颌骨，尤其是下颌体和下颌角。儿童成釉细胞瘤是一种罕见疾病，尤其多见于 10 岁以下儿童。与成人成釉细胞瘤主流的截骨及重建手术相比，儿童成釉细胞瘤的治疗方案更具探讨空间。术后对患儿的功能和心理影响不容忽视。尤其是对于生长发育中的儿童，往往难以被家长接受截骨手术。我们报告了两例 10 岁以下成釉细胞瘤患者，采用刮除和开窗术治疗，这是一种有益于儿童成釉细胞瘤的治疗方法。
我们报告了两例儿童经典成釉细胞瘤病例。详细描述了患者的特征、治疗过程和随访结果。在每次临床复查时，都记录了开窗减压和刮除术后病变区域的骨形成和重建情况。还描述并讨论了刮除和减压的手术细节和原则。两名患者的骨形态恢复良好，无复发。
儿童正处于生长发育阶段，具有极强的骨形成和重建能力。基于微创和功能保留的原则，我们认为刮除术联合减压术可以作为儿童成釉细胞瘤的首选治疗方法，尤其是下颌骨病变。
