下颌骨釉母细胞瘤的多学科治疗方法:关于手术和修复治疗的病例报告。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-09-25 DOI:10.12659/AJCR.944651
Fouad Al Omari, Reem Mohammed Hakami
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引用次数: 0

摘要

背景釉母细胞瘤是一种局部侵袭性的良性牙源性肿瘤。有报告显示,如果采用保守治疗,这种肿瘤复发的几率很高。因此,建议通过手术切除病灶以及受影响的邻近组织和骨结构,以降低复发几率。建议进行术后修复,以改善语言、咀嚼和美观。本病例报告重点介绍了颌面外科医生及其团队在处理大面积釉母细胞瘤病例时所面临的治疗和重建挑战。病例报告:一名 41 岁的苏丹男子因下颌骨左侧边界伴有巨大的釉母细胞瘤而被转诊治疗。治疗包括手术切除受影响的下颌骨,并用移植物和螺钉对下颌骨进行修复。组织病理学、计算机断层扫描和切口活检评估证实了该患者患有釉母细胞瘤。术后未出现并发症。术后六个月未见复发迹象。患者被转诊至外科医生处,接受骨内植入物治疗。结论 在治疗大面积牙釉质母细胞瘤时,跨学科牙科团队对于提高治疗效果至关重要。本病例强调了准确及时的初级保健诊断和合作治疗方法的重要性。通过采用先进的数字技术,外科医生可以提高功能和美学效果,改善长期生活质量。
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Multidisciplinary Approach to Mandibular Ameloblastoma: A Case Report on Surgical and Prosthetic Management.

BACKGROUND Ameloblastoma is a locally aggressive, benign, odontogenic tumor. Reports suggest that the chances of recurrence of this tumor are high if treated with a conservative approach. Concordantly, surgical removal of the lesion along with the affected adjacent tissues and bone structure is recommended to reduce the chances of recurrence. Post-surgical prosthetic rehabilitation is advised to improve speech, mastication, and aesthetic appearance. This case report highlights the treatment and reconstruction challenges that maxillofacial surgeons and their teams face in managing cases of large ameloblastoma. CASE REPORT A 41-year-old Sudani man was referred for the management of a large ameloblastoma associated with the left border of the mandible. Management consisted of surgical removal of the affected mandible along with prosthetically preserving the mandible with grafts and screws. Histopathological, computed tomography, and incisional biopsy evaluation confirmed the presence of ameloblastoma. Postoperatively, no complications were reported. Six months postoperatively, no sign of recurrence was seen. The patient was referred to a surgeon for placement of an endosseous implant. CONCLUSIONS When dealing with large ameloblastoma, an interdisciplinary dental team is essential for improving the treatment results. This case highlights the importance of precise and timely primary care diagnosis and a collaborative approach to treatment. By embracing advancements in digital technologies, surgeons can enhance functional and aesthetic results, improving long-term quality of life.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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