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Case Report
Resection of large proportion ameloblastoma with immediate reconstruction: A case report
1 DDS, MSc, Mato Grosso Cancer Hospital and University of Cuiabá, Cuiabá, MT, Brazil
2 DDS, Department of Oral Surgery Mato Grosso Cancer Hospital, Cuiabá, MT, Brazil
3 DDS, Mato Grosso Cancer Hospital, Cuiabá, MT, Brazil
4 DDS, MSc, PhD, Mato Grosso Cancer Hospital and University of Cuiabá, Cuiabá, MT, Brazil
Address correspondence to:
Luiz Evaristo Ricci Volpato
Universidade de Cuiabá, Av. Beira Rio, 3100 - Jardim Europa, Cuiabá, MT, CEP: 78065-443,
Brazil
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Article ID: 101240Z01ES2021
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How to cite this article
da Silva EJ, Godinho V, Magalhães LRM, Volpato LER. Resection of large proportion ameloblastoma with immediate reconstruction: A case report. Int J Case Rep Images 2021;12:101240Z01ES2021.ABSTRACT
Introduction: Ameloblastoma is a benign odontogenic tumor, locally aggressive and highly prone to recurrence. Due to its clinical behavior and high recurrence rate, it is recommended that the treatment of ameloblastoma be radical, which creates a defect in bone continuity, requiring reconstruction of the osteotomized segment.
Case Report: A 26-year-old patient diagnosed with a large proportion ameloblastoma of plexiform type in the left mandible, resulting in facial asymmetry and volumetric increase in the left middle and lower thirds of the face sought treatment at Mato Grosso Cancer Hospital. The treatment consisted of resection with immediate reconstruction, using pre-contoured reconstruction plate aided by prototyping and costochondral graft.
Conclusion: The graft associated with the reconstruction plate demonstrated good adaptation to the mandibular fossa and preservation of joint function, in addition to minimizing the possible mechanical failures expected from the fixation material. The use of the 3D model to aid in the previous conformation of the plate resulted in less surgical time, adequate adaptation of the material to the bone segment, and better facial symmetry.
Keywords: Ameloblastoma, Odontogenic tumors, Oral pathology, Oral surgery, Three-dimensional printing
SUPPORTING INFORMATION
Author Contributions
Everton José da Silva - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Géssica Vasconcelos Godinho - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Luís Ricardo Machado Magalhães - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Luiz Evaristo Ricci Volpato - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Everton José da Silva et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
