Recurrence of Ameloblastoma on the Right Side of the Mandible: A Case Report
Ameloblastoma is a benign, locally invasive epithelial odontogenic tumour occuring in the jaw. Among all types, multicystic ameloblastoma is a locally aggressive lesion and prone to recurrence. Hereby, the authors present a case report of a 23-yearold female with a chief complaint of painful swelli...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2023-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/18335/62685_CE[Ra1]_F(SHU)_QC(SD_OM)_PF1(VD_KM)_PFA(VD_KM)_PN(KM).pdf |
| Summary: | Ameloblastoma is a benign, locally invasive epithelial odontogenic tumour occuring in the jaw. Among all types, multicystic
ameloblastoma is a locally aggressive lesion and prone to recurrence. Hereby, the authors present a case report of a 23-yearold female with a chief complaint of painful swelling on the right lower third of the face for the past one month. History revealed
a gradual increase in size of the swelling, along with intermittent and non radiating pain that worsened during mastication and
improved with rest. Patient past history revealed similar swelling in the same region twice, with the first occurring five-yearsago and a recurrence after two years of treatment. Both the episodes were treated with laser ablative surgery and extraction
of the affected tooth. The patient presented with recurrent swelling one month ago and underwent an incisional biopsy, which
revealed a histopathological diagnosis of unicystic ameloblastoma. Additional investigations, including an occlusal radiograph,
orthopantomogram, and Computed Tomography (CT), were performed. Based on the recurrence, clinical examination, and
investigations, the present case was diagnosed as unicystic ameloblastoma. It was treated with segmental resection followed by
reconstruction of the mandible using a free fibula graft was planned. The prognosis was good, and regular follow-up has been
maintained for the last four months, with the patient still under review. The uniqueness of present case lies in the patient’s second
decade of life, three episodes of recurrence within five years, and the treatment approach of segmental mandibulectomy with
immediate free fibula graft reconstruction. This procedure reduces the risk of recurrence, allows for full rehabilitation within a short
period, and minimises the number of surgical procedures. |
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| ISSN: | 2249-782X 0973-709X |