SEGMENTAL RESECTION OF THE MANDIBLE FOR THE TREATMENT OF DESMOPLASTIC AMELOBLASTOMA: A CASE STUDY

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology oral medicine, oral pathology and oral radiology, 2020-09, Vol.130 (3), p.e132-e132
• Main Authors: ARAÚJO, RAFAELLA AMORIM BITTENCOURT MARANHÃO DE, GOUVEIA, MARCIA MARIA DE, ALVES, CARLOS AUGUSTO FERREIRA, JÚNIOR, PAULO DOMINGOS RIBEIRO, FILHO, JOSÉ ZENOU COSTA, SANTOS, ÍCARO GUILHERME PEREIRA, COSTA, PEDRO JORGE CAVALCANTE
• Format: Article
• Language: English
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.107

The patient was referred to the buccomaxillofacial surgery and trauma unit, with a diagnosis of desmoplastic ameloblastoma after incisional biopsy, which was carried out in another department. An increase of the volume in the anterior region of the mandible, which was painless to the touch, was observed at the extra-oral physical examination. The intra-oral examination showed incisor crowding. During the tomographic exam, a multilocular radiolucent lesion, with irregular limits and root resorptions, was also observed. The segmental resection was carried out under general anesthesia with safety margin of 2 centimeters, through transcervical access. Two reconstructive plates were fixed to preserve the bed, as well as to strengthen the bone structure. Currently, after 2 postoperative years, the patient is undergoing outpatient follow-up, because the event of recurrence has been observed even after many years of the initial treatment and in mandibular reconstructive plans.