J Oral Med Oral Surg
Volume 24, Number 1, Janvier 2018
|Page(s)||6 - 10|
|Section||Article original / Original article|
|Published online||25 May 2018|
Maxillary ameloblastoma: results of the treatment in 11 patients
Department of Stomatology and Maxillofacial Surgery,
CHU Souro Sanou, Burkina Faso
2 Department of Stomatology and Maxillofacial Surgery, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso
* Correspondence: firstname.lastname@example.org
Accepted: 14 November 2017
Introduction: Surgery of maxilla ameloblastoma is mutilating and the tumor propensity for recurrence high. Patients and Methods: The oral and visual functions, facial morphology and tumor recurrence in 11 patients after maxillary ameloblastoma surgery are retrospectively reviewed. Results: Facial morphology was satisfactory in 7 patients who had all tumor removal by a type 1 or 2A maxillectomy and surgical wound closure. Out of these patients, 4 who had dental rehabilitation by conventional prosthesis presented satisfactory mastication. Four patients subjected to the tumor removal by a type 3 maxillectomy had all facial asymmetry. Out of these, 1 patient who did not have the orbital floor defect repair presented diplopia and enophtalmos, 2 patients subjected to the palate defect repair by a prosthetic obturator or oral mucosa had elocution impairment. The tumor recurrence occurred in 2 patients after tumor enucleation and in 1 patient after radical surgery out of 8 patients who had a postoperative follow-up. Discussion: In ameloblastoma surgery, achieving both the tumor recurrence prevention and a satisfactory facial reconstruction is challenging. Conclusion: Avoiding the tumor recurrence should be the major goal when patient post-surgical follow-up cannot be guaranteed.
Key words: ameloblastoma / maxillary ameloblastoma / ameloblastoma surgery / ameloblastoma recurrence
© The authors, 2018
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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