In this study, we present a case of unicystic ameloblastoma (UA) treated by marsupialization followed by surgical enucleation as a conservative approach. UA is a rare, benign, less aggressive, and less invasive variant of ameloblastoma that is observed quite often in younger patients. Radical approaches have effects on the physical and psychological development of a growing young patient; therefore, conservative approaches are widely used for UA management in children.
This report described a case of an 11-year-old girl with UA of the mandibular molar–ramus area, which also involved impaction of the second and third molars. The lesion was marsupialized, and 31 months after marsupialization, surgical enucleation was performed with extraction of the impacted third molar. The second molar, which was preserved, spontaneously and completely erupted. No recurrence was observed during a 49-month follow-up.
Conservative treatments for UA in young patients have more advantages. Our results provide evidence that marsupialization is effective in regressing the lesion size to ease complete removal, preserving mandibular growth, maintaining involved second molar, and promoting the eruption of the tooth.
Scariot R, da Silva RV, da Silva Felix W Jr, da Costa DJ, Rebellato NLB (2012) Conservative treatment of ameloblastoma in child: a case report. Stomatologija 14:33–36 PubMed
Antonoglou GN, Sándor GK (2015) Recurrence rates of intraosseous ameloblastomas of the jaws: a systematic review of conservative versus aggressive treatment approaches and meta-analysis of non-randomized studies. J Craniomaxillofac Surg 43:149–157. doi: 10.1016/j.jcms.2014.10.027 CrossRefPubMed
Soliman MM, Abd El Dayem Hassan H, Elgazaerly H, Sweedan TO (2013) Marsupialization as a treatment modality of large jaw cysts. WASJ 21:1752–1759. doi: 10.5829/idosi.wasj.2013.21.12.99
- Conservative management (marsupialization) of unicystic ameloblastoma: literature review and a case report
- Springer Berlin Heidelberg
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