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Xu C, Hu Y, Sun Y, Shao Q, Song Y, He J. Curettage combined with decompression for the treatment of ameloblastoma in children: report of two cases. BMC Oral Health 2024; 24:378. [PMID: 38519948 PMCID: PMC10958900 DOI: 10.1186/s12903-024-04126-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2024] [Accepted: 03/08/2024] [Indexed: 03/25/2024] Open
Abstract
BACKGROUND Ameloblastoma (AM) is the most common benign odontogenic tumor, which is more often detected in the mandible than maxilla, especially the mandibular body and mandibular angle. Pediatric AM is a rare disease, especially in patients aged 10 and younger. Compared with the mainstream osteotomy and reconstructive surgery for adult ameloblastoma, there is more room for discussion in the treatment of pediatric ameloblastoma. The postoperative functional and psychological influence can not be ignored. Especially for children in the period of growth and development, an osteotomy is often challenging to be accepted by their parents. We report two patients with ameloblastoma under 10 years old who are treated with curettage and fenestration, which is a beneficial method for children with ameloblastoma. CASE PRESENTATION We present two cases of classic ameloblastoma in children. We describe in detail the patients' characteristics, treatment processes, and follow-up result. The bone formation and reconstruction in the lesion area after fenestration decompression and curettage are recorded at every clinic review. The surgical details and principles of curettage and decompression are also described and discussed. The two patients have good bone shape recovery and no recurrence. CONCLUSIONS Children are in the growth and development period and possess an extremely strong ability of bone formation and reconstruction. Based on the principles of minimally invasive and functional preservation, we believe that curettage combined with decompression can be the first choice for treating AM in children, especially for mandibular lesions.
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Affiliation(s)
- Chen Xu
- Department of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo, 255036, China
| | - Yuhua Hu
- Department of Oral Pathology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
- Shanghai Center of Head and Neck Oncology Clinical and Translational Science, Shanghai, China
| | - Yuhuan Sun
- Department of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo, 255036, China
| | - Qiang Shao
- Department of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo, 255036, China
| | - Yonghai Song
- Department of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo, 255036, China.
| | - Jie He
- Department of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo, 255036, China.
- Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China.
- National Center for Stomatology, Shanghai, China.
- National Clinical Research Center for Oral Diseases, Shanghai, China.
- Shanghai Key Laboratory of Stomatology, Shanghai, China.
- Shanghai Research Institute of Stomatology, Shanghai, China.
- Shanghai Center of Head and Neck Oncology Clinical and Translational Science, Shanghai, China.
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Abstract
A 42-year-female patient presented with a swelling on the left side of the face for the past 10 years. The radiograph shows multilocular radiolucency with evidence of root resorption. Histopathology reveals fibrous connective tissue exhibiting numerous odontogenic epithelial islands with peripheral tall columnar cells showing a reversal of polarity. The center of the island shows stellate reticulum like cells. The connective tissue also shows the presence of extensive coarse granular eosinophilic cells distributed throughout the section.
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Affiliation(s)
- Yakob Martin
- Department of Oral and Maxillofacial Pathology, SRM Kattankulathur Dental College, Kanchipuram, Tamil Nadu, India
| | - M Sathyakumar
- Department of Oral and Maxillofacial Pathology, SRM Kattankulathur Dental College, Kanchipuram, Tamil Nadu, India
| | - Jeyanthi Premkumar
- Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, Tamil Nadu, India
| | - K T Magesh
- Department of Oral and Maxillofacial Pathology, SRM Kattankulathur Dental College, Kanchipuram, Tamil Nadu, India
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Goel S, Goel M, Dinkar AD. Odontogenic Myxoma of Mandible with Unusual (Sunburst) Appearance: A Rare Case Report. J Clin Diagn Res 2016; 10:ZJ05-7. [PMID: 27437382 DOI: 10.7860/jcdr/2016/20123.7812] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2016] [Accepted: 04/18/2016] [Indexed: 11/24/2022]
Affiliation(s)
- Swati Goel
- Senior Lecturer, Department of Oral Medicine, Diagnosis and Radiology, Eklavya Dental College and Hospital , Jaipur, India
| | - Manish Goel
- Research Officer, Department of Pulmonary Medicine, All India Institute of Medical Sciences , New Delhi, India
| | - Ajit D Dinkar
- Professor and Head, Department of Oral Medicine, Diagnosis and Radiology, Goa Dental College & Hospital , Goa, India
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Abstract
There are both odontogenic and nonodontogenic benign lesions in the maxilla and mandible. These lesions may have similar imaging features, and the key radiographic features are presented to help the clinician narrow the differential diagnosis and plan patient treatment. Both intraoral and panoramic radiographs and advanced imaging features are useful in assessing the benign lesions of the jaws. The location, margins, internal contents, and effects of the lesions on adjacent structures are important features in diagnosing the lesions.
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Affiliation(s)
- Anita Gohel
- Oral & Maxillofacial Radiology, Department of General Dentistry, Henry M. Goldman School of Dental Medicine, Boston University, 100 East Newton Street, G118, Boston, MA 02118, USA.
| | - Alessandro Villa
- Division of Oral Medicine and Dentistry, Department of Oral Medicine, Infection and Immunity, Dana Farber Cancer Institute, Brigham and Women's Hospital, Harvard School of Dental Medicine, 1620 Tremont Street, Suite BC-3-028, Boston, MA 02120, USA
| | - Osamu Sakai
- Department of Radiology, Boston Medical Center, Boston University School of Medicine, 820 Harrison Avenue, Boston, MA 02118, USA; Department of Otolaryngology - Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, 820 Harrison Avenue, Boston, MA 02118, USA; Department of Radiation Oncology, Boston Medical Center, Boston University School of Medicine, 820 Harrison Avenue, Boston, MA 02118, USA
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