Minimally invasive approach in treatment of ameloblastoma in adolescent: 3-years follow-up

Rafic Beder, Marwa Ibrahim
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Abstract

Background Treatment of ameloblastoma in young patients should be conservative to avoid serious complications resulting from radical surgery. The aim of this study was to evaluate the prognosis of surgical excision with thorough curettage (peripheral ostectomy) in treatment of ameloblastoma in adolescent. Patients and methods This study included eight patients with mandibular ameloblastoma, which was confirmed by preoperative computed tomography and histopathological examination of incisional biopsy specimen and all patients were treated by surgical excision with thorough curettage. Results This study involved six males and two females, with an age ranged from 12 to 16 years with a mean of age 13.75 years. All lesions occurred in the mandible. Recurrence was not observed in seven cases of eight cases after 36 months follow up and occurred only in case no 7. Conclusion Ameloblastoma in adolescents can be successfully treated conservatively by surgical excision with thorough curettage (peripheral ostectomy).
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微创入路治疗青少年成釉细胞瘤:3年随访
背景:年轻成釉细胞瘤患者的治疗应保守,以避免根治性手术引起的严重并发症。本研究的目的是评估手术切除与彻底刮除(周围骨切除术)治疗成釉细胞瘤的青少年的预后。患者和方法本研究纳入8例下颌成釉细胞瘤患者,经术前计算机断层扫描和切口活检标本的组织病理学检查证实,所有患者均行手术切除并彻底刮除。结果本组患者男6例,女2例,年龄12 ~ 16岁,平均年龄13.75岁。所有病变均发生在下颌骨。随访36个月后,7例8例无复发,仅7例复发。结论青少年成釉细胞瘤可以通过手术彻底刮除(周围骨切除术)保守治疗。
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