AMELOBLASTOMA REMOVED BY CURETTAGE AND ENUCLEATION AFTER SSRO: CASE REPORT

하악골상행지 시상분할골절단술, 소파술 및 적출술을 이용한 법랑아세포종 치료에 대한 치험례

  • Kil, Yong-Kab (Department of Oral and Maxillofacial surgery, Chuncheon sacred heart hospital, Hallym university) ;
  • Kim, Jin-Cheol (Department of Oral and Maxillofacial surgery, Chuncheon sacred heart hospital, Hallym university) ;
  • Hong, Yong-Jae (Department of Oral and Maxillofacial surgery, Chuncheon sacred heart hospital, Hallym university) ;
  • Oh, Hae-Soo (Department of Oral and Maxillofacial surgery, Chuncheon sacred heart hospital, Hallym university) ;
  • Choi, Bin (Department of Oral and Maxillofacial surgery, Chuncheon sacred heart hospital, Hallym university) ;
  • Kim, Kyoung-Soo (Department of Oral and Maxillofacial surgery, Chuncheon sacred heart hospital, Hallym university)
  • 길용갑 (한림대학교 춘천성심병원 구강악안면외과) ;
  • 김진철 (한림대학교 춘천성심병원 구강악안면외과) ;
  • 홍용재 (한림대학교 춘천성심병원 구강악안면외과) ;
  • 오해수 (한림대학교 춘천성심병원 구강악안면외과) ;
  • 최빈 (한림대학교 춘천성심병원 구강악안면외과) ;
  • 김경수 (한림대학교 춘천성심병원 구강악안면외과)
  • Published : 2007.03.31

Abstract

An ameloblastoma is one of the most common odontogenic tumors. Ameloblastoma is cytologically a benign tumor, but is clinically characterized by infiltrative growth and high recurrency. The treatment of ameloblastoma has been controversial. The aim of this paper is to consider effectiveness of curettage and enucleation after SSRO in the small-sized multilocular intraosseous ameloblastomas that have been treated more frequently by radical treatment. They were radiographically characterized by the cortical bone that was expanded or eroded locally and histopathologically by solid multilocular ameloblastomas. It is considered that curettage and enucleation after SSRO and long-term follow-up enable the small-sized multilocular intraosseous ameloblastomas that were characterized by almost destroyed cancellous bone and expanded cortical bone to treat minimizing facial disfigurement and masticatory dysfunction and sociopsychological impact produced by radical treatment. We recommend that the small-sized multilocular intraosseous ameloblastomas without involvement to the surrounding soft tissues be first treated by curettage and enucleation after SSRO.

Keywords

References

  1. Eui Wung Lee, Byoung Ouck Cho : Textbook of Oral and Maxillofacial surgery, 1st ed. Seoul, Dental & Medical Publishing Co. 1998, p.432
  2. Regezi JA, Sciubba JJ : Oral pathology : Clinical pathologic correlations, 3rd ed. philadelphia, WB Saunders, 1999, p.323
  3. Gardner DG : A pathologist's approach to the treatment of ameloblastoma. J Oral Maxillofac Surg 42 : 161, 1984 https://doi.org/10.1016/S0278-2391(84)80026-9
  4. Mehlisch DR, Dahlin DC, Masson JK : Ameloblastoma : a clinicopathologic report. J Oral Surg 30 : 9, 1972
  5. Shatkin S, Hoffmeister FS : Ameloblastoma : A rational approach to therapy. Oral Surg Oral Med Oral Pathol 20 : 421, 1965 https://doi.org/10.1016/0030-4220(65)90231-8
  6. Olasoji HO, Enwere ON : Treatment of ameloblastoma - a review. Niger J Med 12 : 7, 2003
  7. Hatada K, Noma H, Katakura A et al : Clinicostatistical study of ameloblastoma treatment. Bull Tokyo Dent Coll 42 : 87, 2001 https://doi.org/10.2209/tdcpublication.42.87
  8. Al-Khateeb T, Ababneh KT : Ameloblastoma in young Jordanians: a review of the clinicopathologic features and treatment of 10 cases. J Oral Maxillofac Surg 61 : 13, 2003
  9. Feinberg SE, Steinberg B: Surgical management of ameloblastoma. Current status of the literature. Oral Surg Oral Med Oral Pathol 81 : 383, 1996 https://doi.org/10.1016/S1079-2104(96)80012-6
  10. Robinson L, Martinez MG : Unicystic Ameloblastoma. Cancer. 40 : 2278, 1977 https://doi.org/10.1002/1097-0142(197711)40:5<2278::AID-CNCR2820400539>3.0.CO;2-L
  11. Gardner DG, Corio RL : Plexiform unicystic ameloblastoma. A variant of ameloblastoma with a low-recurrence rate after enucleation. Cancer 53 : 1730, 1984 https://doi.org/10.1002/1097-0142(19840415)53:8<1730::AID-CNCR2820530819>3.0.CO;2-U
  12. Muller H, Slootweg PJ : The ameloblastoma, the controversial approach to therapy. J Maxillofac Surg 13 : 79, 1985 https://doi.org/10.1016/S0301-0503(85)80021-7
  13. Hee-Kyeong Kim, Eui-Wung Lee : Effect on the enucleation of the intraosseous ameloblastoma. J Kor Oral Maxillofac Surg 29 : 140, 2003
  14. Nakamura N, Higuchi Y, Mitsuyasu T et al : Comparison of long-term results between different approaches to ameloblastoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93 : 13, 2002 https://doi.org/10.1067/moe.2002.119517
  15. Lau SL, Samman N : Recurrence related to treatment modalities of unicystic ameloblastoma: a systematic review. Int J Oral Maxillofac Surg 35 : 681, 2006 https://doi.org/10.1016/j.ijom.2006.02.016
  16. Kramer IRH : Ameloblastoma : A clinical-pathological appraisal. Br J Oral Surg 1 : 13, 1963 https://doi.org/10.1016/S0007-117X(63)80044-X
  17. Mehlisch DR, Dahlin DC, Masson JK : Ameloblastoma : a clinicopathologic report. J Oral Surg 30 : 9, 1972
  18. Muller H, Slootweg PJ : The growth characteristics of multilocular ameloblastomas. A histological investigation with some inferences with regard to operative procedures. J Maxillofac Surg 13 : 224, 1985 https://doi.org/10.1016/S0301-0503(85)80052-7
  19. Crawley WA, Levin LS : Treatment of the ameloblastoma. A controversy. Cancer 42 : 357, 1978 https://doi.org/10.1002/1097-0142(197807)42:1<357::AID-CNCR2820420154>3.0.CO;2-H