MANDIBULAR AMELOBLASTOMA RECONSTRUCTION: A CASE REPORT WITH 10-YEAR FOLLOW-UP

J. V. Villanueva Maffei, Matías Dallaserra Albertini, Stefan Domancic Alucema, Gabriel Zamorano Young, Sebastián Zapata Baeza
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Abstract

Ameloblastoma is a benign dental tumor mostly found in the mandible, with several variations. The treatment of this pathology ranges from simple enucleation to resection of large sections of the affected bone. There are several options for correcting the sequelae of ameloblastoma treatment, including the use of grafts and currently microvascular free flaps, which have become the standard treatment. This report describes a clinical case of a large mandibular ameloblastoma, which was resected with safety margins about 10 years ago, reconstructed by free grafts in successive surgical times and rehabilitated using removable prostheses. The question is then what the best option is today in the reconstruction of patients affected by this type of pathologies, taking into account emerging options, the clinicians’ learning curve and the patients’ resources.
下颌成釉细胞瘤重建1例,随访10年
成釉细胞瘤是一种良性牙齿肿瘤,常见于下颌骨,有几种变异。这种病理的治疗范围从简单的去核到大面积切除受影响的骨。有几种治疗成釉细胞瘤后遗症的方法,包括使用移植物和目前已成为标准治疗方法的微血管游离皮瓣。本报告描述了一个大的下颌成釉细胞瘤的临床病例,该病例在大约10年前切除了安全边缘,在连续的手术时间内通过游离移植物重建并使用可移动假体修复。现在的问题是,考虑到新出现的选择,临床医生的学习曲线和病人的资源,在重建受这种病理影响的病人时,最好的选择是什么。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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