Abstract
A 52yrs/f was referred to our centre, with complaints of a progressively enlarging nontender swelling in the left side upper jaw, past six months. Medical history revealed history of three surgeries, the last surgery performed was hemimandibulectomy left side in 1999. Intraoral examination revealed solitary oval shaped swelling measuring approx 2 x 1.5 cms near the maxillary tuberosity region. The swelling was firm and non tender on palpation. The non contrast computed tomography (NCCT) revealed a multilocular radiolucent lesion extending in to the infratemporal fossa. Incisional biopsy examination was suggestive of acanthomatous and granular variety of Ameloblastoma. Modified Alkayat Bramley approach was used and an access osteotomy of zygomatic arch was done, the mass was removed in total under general anaesthesia. Post operative recovery was uneventful with a satisfactory functional and aesthetic outcome.
Keywords: Ameloblastoma, Acanthomatous, Follicular, Granular, Maxillary tuberosity, Recurrence, Infra temporal fossa, Access Osteotomy, Zygomatic arch.
References
- Cusack, W.: Report of the amputations of portions of the lower jaw. Dublin Hosp. Rec. 4: l- 38, 1827.
- Falksson, R.: Zur Kenntnis der Kieferzysten. Virchows Arch. [Pathol. ] 76:504-510, 1879.
- Malassez, L.: Sur le role des debris epitheliaux paradentaires. Physiol. Norm. Pathol. 5:309-340; 6:379-449, 1885.
- Ivey, R. H., and Churchill, H. R.: The need of a standardized surgical and pathological classification of tumors and anomalies of dental origin. Aaoc. Dent. Sch. Trans. 7:240-245, 1930.
- Gorlin, R. J., Chaudhry, A. P., and Pindborg, J.: Odontogenic tumors. Cancer 14:73-101, 1961.
- Hinds, C., Pleasants, J. E., and Snyder, P. L.: Management of ameloblastoma. Oral Surg. 7: 1169-1 177, 1954
- Smith, J. F.: The controversial ameloblastoma. Oral 26:45-75, 1968.
- Auluck A, Shetty S, Desai R, Mupparapu M. Recurrent ameloblastoma of the infratemporal fossa: Diagnostic implications and a review of the literature. Dentomaxillofac Radiol. 2007;36:416–9.
- To EW, Tsang WM, Pang PC. Recurrent ameloblastoma presenting in the temporal fossa. Am J Otolaryngol. 2002;23:105
- Chen WL, Li JS, Yang ZH, Wang JG, Zhang B. Recurrent ameloblastoma of the anterior skull base: Three cases treated by radical resections. J Craniomaxillofac Surg. 2006;34:412–4.
- Philipsen HP, Reichart PA: Revision of the 1992-edition of the WHO histological typing of odontogenetic tumors. A suggestion. J Oral Pathol Med 31(5): 253-258, 2002.
- Olaitan AA, Adeola DS, Adekeye EO: Ameloblastoma: clinical features and management of 315 cases from Kaduna, Nigeria. J Craniomaxillofac Surg 21: 351- 355, 1993.
- Reichart PA, Philipsen HP, Sonner S: Ameloblastoma: a biological profile of 3677 cases. Eur J Cancer B Oral Oncol 31B(2): 86-99, 1995.
- Leider AS, Eversole LR, Barkin ME. Cystic ameloblastoma. A clinicopathologic analysis. Oral Surg Oral Med Oral Pathol 1985: 60: 624–630.
Corresponding Author
Narendra Babu BK
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.