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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
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Author Contributions
Everton José da Silva - Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Géssica Vasconcelos Godinho - Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Luís Ricardo Machado Magalhães - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Luiz Evaristo Ricci Volpato - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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.
