Conservative Management [Combination of Marsupialization and Enucleation] of Unicytic
Ameloblastoma in the Posterior Mandible of a Young Patient: A Case Report 2-Year Follow
Up with No Recurrent
Maryam Johari1, Hamed Gharuee2, Sahar Latifi3* and Seyedeh
1Assistant Professor, Department of Oral and Maxillofacial Radiology, Babol University
of Medical Science, Babol, Iran
2Oral and Maxillofacial Surgeon, Babol, Iran
3Postgraduate Student, Department of Oral and Maxillofacial Radiology, Babol
University of Medical Science, Babol, Iran
4Medical Pathologist, Amol, Iran
*Corresponding Author: Sahar Latifi, Postgraduate Student, Department of Oral
and Maxillofacial Radiology, Babol University of Medical Science, Babol, Iran.
Received: June 14, 2023; Published: July 26, 2023
Background: During this study, we present a case of unicystic ameloblastoma (UA) treated by marsupialization taken after surgical
enucleation as a conservative treatment. UA could be a locally invasive benign odontogenic tumor with an epithelial origin. UA could
be a common variation of ameloblastoma that occurs frequently in young adults. The primary treatment modality of UA is usually
radical surgery. Our treatment priority is conservative treatments to reduce the consequences of aggressive treatments such as loss
of structures and functional disorders, and psychological complications. Due to the proximity of the tumor to the tooth buds in developing
young patients, aggressive treatment shouldn't be considered an elective treatment modality. In this case, we consider a combination
approach of marsupialization and conservative enucleation to reduce these side effects. This report described a 13-year-old
boy's case of UA within the left mandibular molar–ramus region. The lesion was marsupialized, and two months after marsupialization,
surgical enucleation was performed that show no recurrent after 2 years of follow-up.
Conclusions: Conservative treatments for UA in young patients have more advantages. The results of our study provide that enucleation
protects mandibular development, keeping up more involved teeth instead of aggressive treatments.
Keywords:Unicystic Ameloblastoma; Enucleation; Marsupialization; Conservative Treatment
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