Olaitan A A, Arole G, Adekeye E O
Department of Dental Surgery, Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria.
Int J Oral Maxillofac Surg. 1998 Dec;27(6):456-60. doi: 10.1016/s0901-5027(98)80037-4.
Twenty-six cases of recurrent ameloblastoma of the jaws within a 15-year period are presented. They represent 8.9% of all cases of ameloblastoma seen in this period. The highest incidence was found in the third decade of life. There is a higher incidence of recurrences in the mandible (16/26) as compared to the maxilla (6/26). Over 80% of the recurrences presented within five years of primary surgery, emphasising the need for adequate and intensive follow-up during this critical period. Three patients whose lesions were operated on in the mandible showed similar lesions in the maxilla after a period of time. Conservative procedures at primary surgery produced the most recurrences. The cure rate for surgery of maxillary ameloblastoma was comparatively poor. The need for good visibility, adequate access and radical surgery in maxillary ameloblastoma is stressed.
本文报告了15年间26例颌骨复发性成釉细胞瘤病例。它们占该时期所见所有成釉细胞瘤病例的8.9%。发病率最高的年龄段为第三个十年。与上颌骨（6/26）相比，下颌骨的复发率更高（16/26）。超过80%的复发发生在初次手术后的五年内，这强调了在这一关键时期进行充分和密集随访的必要性。三名下颌骨病变接受手术的患者在一段时间后上颌骨出现了类似病变。初次手术采用保守术式导致的复发最多。上颌骨成釉细胞瘤的手术治愈率相对较低。强调了上颌骨成釉细胞瘤手术中良好视野、充分显露和根治性手术的必要性。
