Keywords:
Ameloblastoma, Reconstructive tumor surgery, Conservative ameloblastoma treatment
Abstract :
Ameloblastoma is the most common epithelial odontogenic tumor after odontoma in oral and maxillofacial region with invasive and benign histopathologic appearance but clinical behavior , Clinicopathologic variant, location, age, sex and availability to close long-term follow up of patient must be assessed before deciding treatment. Several surgical techniques described for treating ameloblastoma; Enucleation alone or with peripheral ostectomy/curettage, cauterization, marginal resection with keeping of mandibular lower border and radical resection with taking about 1-2 cm of uninvolved bone. In recurrent cases, facial deformity and swelling are most common symptoms. Some cited that extensive resection of the mandible in all ameloblastoma of children may be too radical and will make concern about the deformity, dysfunction, influence on facial growth, shape asymmetry, masticator dysfunction, and psychological impact.