Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 7 Issue 8

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 Fatemeh Masudi4

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

Abstract

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

References

  1. Pattipati S., et al. “Unicystic Ameloblastoma”. International Journal of Stomatology and Occlusion Medicine 6 (2013): 33-37.
  2. Agani Z., et al. “Maxillary unicystic ameloblastoma: A case report”. BMC Research Notes 9 (2016): 469.
  3. Manikkam S., et al. “Ameloblastoma”. Journal of Pharmacy and Bioallied Sciences 1 (2015): 167-170.
  4. Effiom OA., et al. “Ameloblastoma: current etiopathological concepts and management”. Oral Diseases3 (2018): 307-316.
  5. Cadavid AM., et al. “Ameloblastomas: current aspects of the new WHO classification in an analysis of 136 cases”. Surgical and Experimental Pathology1 (2019): 1-6.
  6. Soluk-Tekkeşin M and Wright JM. “The World Health Organization classification of odontogenic lesions: A summary of the changes of the 2017 (4th) edition”. Turkish Journal of Pathology 34 (2018): 1-8. Back to cited text no. 1
  7. Ghai S. “Ameloblastoma: An Updated Narrative Review of an Enigmatic Tumor”. Cureus8 (2022).
  8. Petrovic ID., et al. “Ameloblastomas of the mandible and maxilla”. Ear, Nose and Throat Journal7 (2018): E26.
  9. Omami G and Adel M. “Width-to-length ratio comparison between ameloblastomas and odontogenic keratocysts in the body of the mandible: A preliminary study”. Imaging Science in Dentistry4 (2020): 319.
  10. Mortazavi H., et al. “Oral Hard Tissue Lesions: A Radiographic Diagnostic Decision Tree”. Open Access Macedonian Journal of Medical SciencesF (2020): 180-196.
  11. Figueiredo NR., et al. “Ameloblastoma: A clinicoradiographic and histopathologic correlation of 11 cases seen in Goa during 2008-2012”. Contemporary Clinical Dentistry2 (2014): 160.
  12. , et al. “Unicystic plexiform ameloblastoma with mural proliferation: a full-blown lesion Sonal”. BMJ Case Reports Published Online (2015).
  13. Sartori V., et al. “Testing international techniques for the radiographic assessment of third molar maturation”. Journal of Clinical and Experimental Dentistry12 (2021): e1182.
  14. Gupta RK., et al. “A rare simultaneous occurrence of odontogenic keratocyst and unicystic ameloblastoma in mandible: a case report”. Journal of Clinical and Diagnostic Research: JCDR8 (2016): ZD01.
  15. Hammarfjord O., et al. “Surgical treatment of recurring ameloblastoma, are there options?” British Journal of Oral and Maxillofacial Surgery 8 (2013): 762-766.
  16. Qiao X., et al. “Recurrence rates of intraosseous ameloblastoma cases with conservative or aggressive treatment: a systematic review and meta-analysis”. Frontiers in Oncology 11 (2021): 647200.
  17. Hendra FN., et al. “Radical vs conservative Treatment of intraosseous ameloblastoma: Systematic review and meta-analysis”. Oral Disease 7 (2019): 1683-1696.
  18. Yew CC., et al. “Modified conservative management of mandibular ameloblastoma: a 13‐year experience in a Malaysian tertiary care centre”. Oral Surgery 3 (2020): 230-236.
  19. Meshram M., et al. “Conservative management of unicystic ameloblastoma in young patients: a prospective single-center trial and review of literature”. Journal of Maxillofacial and Oral Surgery3 (2017): 333-341.
  20. Simon EN., et al. “Immediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study”. Journal of Maxillofacial and Oral Surgery1 (2013): 106-112.
  21. Kalaiselvan S., et al. “Evaluation of safety margin” in ameloblastoma of the mandible by surgical, radiological, and histopathological methods: An evidence-based study”. Journal of Pharmacy and Bioallied Sciences1 (2016): S122.
  22. Vijayakumar Jain S., et al. “Evaluation of three-dimensional changes in pharyngeal airway following isolated lefort one osteotomy for the correction of vertical maxillary excess: a prospective study”. Journal of Maxillofacial and Oral Surgery1 (2019): 139-146.

Citation

Citation: Sahar Latifi., et al. “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".Acta Scientific Dental Sciences 7.8 (2023): 43-48.

Copyright

Copyright: © 2023 Sahar Latifi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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