Treatment of recurrent mandibular ameloblastoma

Infante-Cossio,Pedro; Prats-Golczer,Victoria; Gonzalez-Perez,Luis-Miguel; Belmonte-Caro,Rodolfo; Martinez-De-Fuentes,Rafael; Torres-Carranza,Eusebio; Gacto-Sanchez,Purificacion; Gomez-Cia,Tomas

doi:10.3892/etm.2013.1165

Treatment of recurrent mandibular ameloblastoma

Authors:
- Pedro Infante-Cossio
- Victoria Prats-Golczer
- Luis-Miguel Gonzalez-Perez
- Rodolfo Belmonte-Caro
- Rafael Martinez-De-Fuentes
- Eusebio Torres-Carranza
- Purificacion Gacto-Sanchez
- Tomas Gomez-Cia
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Affiliations: Department of Oral and Maxillofacial Surgery, Virgen del Rocio University Hospital, Seville, Spain, Department of Prosthodontics, Faculty of Dentistry, University of Seville, Seville, Spain , Department of Plastic and Reconstructive Surgery, Virgen del Rocio University Hospital, Seville, Spain
Published online on: June 18, 2013 https://doi.org/10.3892/etm.2013.1165
Pages: 579-583

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Abstract

Ameloblastoma is a locally invasive benign odontogenic tumor with a high rate of recurrence in the long term. The authors conducted a retrospective study of patients with mandibular ameloblastoma in order to evaluate recurrent ameloblastoma management. The study included data from 31 patients over a period of 10 years. Data collected included age, gender, tumor location, histological findings, initial treatment, number of recurrences and year of onset, type of treatment of recurrence, reconstruction and follow-up. Recurrences were detected in nine patients (29%). Tumor recurrences appeared at 32 months on average following the initial surgical procedure. Recurrences were associated mainly to inadequate initial therapeutic approach and were treated by bone resection with a safety margin of at least 1 cm beyond the radiographically visible margins. Immediate reconstruction of bone defects was performed with grafts or free flaps.

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