CASE REPORT
 
KEYWORDS
TOPICS
ABSTRACT
Ameloblastoma is the odontogenic tumour of the maxillary bones accounts for approximately 1% of all dental tumours. It is clinically considered to be a lesion with local aggressiveness and a high level of tendencies to relapse, destruction of surrounding tissues, and even malignancy and metastases. The treatment of choice is currently the resection of bone en bloc with a 1–2 cm margin of healthy tissue along with its simultaneous reconstruction. Newly introduced technologies are beginning to play an increasingly important role in modern head and neck surgery. Virtual surgical planning using 3D models (CAD) allows individualised (CAM) custom-made guides and titanium prosthesis, which constitutes the individualisation of treatment. The case report presents a patient treated due to ameloblastoma of the body of the mandible, with deep circumflex iliac artery flap (DCIAF) reconstruction using elements of individual 3D planning.
Kuźniarz K, Kwiatkowska E, Czerkies R, Lasota A, Sierocińska-Sawa J, Tomaszewski T. Three-dimensional individual planning for treatment of ameloblastoma of the mandible – clinical study. J Pre-Clin Clin Res. 2023; 17(3): 198–207. doi: 10.26444/jpccr/170251
REFERENCES (32)
1.
Kreppel M, Zöller J. Ameloblastoma-Clinical, radiological, and therapeutic findings. Oral Dis. 2018 Mar;24(1–2):63–66. doi:10.1111/odi.12702. PMID: 29480593.
 
2.
Effiom OA, Ogundana OM, Akinshipo AO, Akintoye SO. Ameloblastoma: current etiopathological concepts and management. Oral Dis. 2018 Apr;24(3):307–316. doi:10.1111/odi.12646.
 
3.
Soluk-Tekkesin M, Wright JM. The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2022 (5th) Edition. Turk Patoloji Derg. 2022;38(2):168–184. doi:10.5146/tjpath.2022.01573.
 
4.
Jayasooriya PR, Abeyasinghe WAMUL, Liyanage RLPR, Uthpali GN, Tilakaratne WM. Diagnostic Enigma of Adenoid Ameloblastoma: Literature Review Based Evidence to Consider It as a New Sub Type of Ameloblastoma. Head Neck Pathol. 2022 Jun;16(2):344–352. doi:10.1007/s12105-021-01358-w.
 
5.
McClary AC, West RB, McClary AC, Pollack JR, Fischbein NJ, Holsinger CF, Sunwoo J, Colevas AD, Sirjani D. Ameloblastoma: a clinical review and trends in management. Eur Arch Otorhinolaryngol. 2016 Jul;273(7):1649–61. doi:10.1007/s00405-015-3631-8.
 
6.
Moro A, Pelo S, Gasparini G, Saponaro G, Todaro M, Pisano G, D’Amato G, Doneddu P. Virtual Surgical Planning for Reconstruction of Giant Ameloblastoma of the Mandible. Ann Plast Surg. 2020 Jul;85(1):43–49. doi:10.1097/SAP.0000000000002390.
 
7.
Cortese A, Spirito F, Claudio PP, Lo Muzio L, Ruggiero A, Gargiulo M. Mandibular Reconstruction after Resection of Ameloblastoma by Custom-Made CAD/CAM Mandibular Titanium Prosthesis: Two Case Reports, Finite Element Analysis and Discussion of the Technique. Dent J (Basel). 2023 Apr 20;11(4):106. doi:10.3390/dj11040106.
 
8.
Neagu D, Escuder-de la Torre O, Vázquez-Mahía I, Carral-Roura N, Rubín-Roger G, Penedo-Vázquez Á, Luaces-Rey R, López-Cedrún JL. Surgical management of ameloblastoma. Review of literature. J Clin Exp Dent. 2019 Jan 1;11(1):e70-e75. doi:10.4317/jced.55452.
 
9.
Chakraborty S, Guha RP, Naskar S, Banerjee R. Custom-Made 3D Titanium Plate for Mandibular Reconstruction in Surgery of Ameloblastoma: A Novel Case Report. Surgical Techniques Development. 2022;11(3):98–104. doi.org/10.3390/std11030009.
 
10.
Milman T, Ying GS, Pan W, LiVolsi V. Ameloblastoma: 25 Year Experience at a Single Institution. Head Neck Pathol. 2016 Dec;10(4):513–520. doi:10.1007/s12105-016-0734-5. Epub 2016 Jun 7.
 
11.
Ghai S. Ameloblastoma: An Updated Narrative Review of an Enigmatic Tumor. Cureus. 2022 Aug 6;14(8):e27734. doi:10.7759/cureus.27734.
 
12.
Alves DBM, Tuji FM, Alves FA, Rocha AC, Santos-Silva ARD, Vargas PA, Lopes MA. Evaluation of mandibular odontogenic keratocyst and ameloblastoma by panoramic radiograph and computed tomography. Dentomaxillofac Radiol. 2018;47(7):20170288. doi:10.1259/dmfr.20170288.
 
13.
Bispo MS, Pierre Júnior MLGQ, Apolinário AL Jr, Dos Santos JN, Junior BC, Neves FS, Crusoé-Rebello I. Computer tomographic differential diagnosis of ameloblastoma and odontogenic keratocyst: classification using a convolutional neural network. Dentomaxillofac Radiol. 2021 Oct 1;50(7):20210002. doi:10.1259/dmfr.20210002.
 
14.
Apajalahti S, Kelppe J, Kontio R, Hagström J. Imaging characteristics of ameloblastomas and diagnostic value of computed tomography and magnetic resonance imaging in a series of 26 patients. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Aug;120(2):e118–30. doi:10.1016/j.oooo.2015.05.002.
 
15.
Laborde A, Nicot R, Wojcik T, Ferri J, Raoul G. Ameloblastoma of the jaws: Management and recurrence rate. Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Feb;134(1):7–11. doi:10.1016/j.anorl.2016.09.004.
 
16.
Chana JS, Chang YM, Wei FC, Shen YF, Chan CP, Lin HN, Tsai CY, Jeng SF. Segmental mandibulectomy and immediate free fibula osteoseptocutaneous flap reconstruction with endosteal implants: an ideal treatment method for mandibular ameloblastoma. Plast Reconstr Surg. 2004 Jan;113(1):80–7. doi:10.1097/01.PRS.0000097719.69616.29.
 
17.
Bataineh AB. Effect of preservation of the inferior and posterior borders on recurrence of ameloblastomas of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Aug;90(2):155–63. doi:10.1067/moe.2000.107971.
 
18.
Giraddi GB, Arora K, Saifi AM. Ameloblastoma: A retrospective analysis of 31 cases. J Oral Biol Craniofac Res. 2017 Sep-Dec;7(3):206–211. doi:10.1016/j.jobcr.2017.08.007.
 
19.
Gravvanis A, Koumoullis HD, Anterriotis D, Tsoutsos D, Katsikeris N. Recurrent giant mandibular ameloblastoma in young adults. Head Neck. 2016 Apr;38 Suppl 1:E1947–54. doi:10.1002/hed.24352.
 
20.
Fuchigami T, Ono Y, Kishida S, Nakamura N. Molecular biological findings of ameloblastoma. Jpn Dent Sci Rev. 2021 Nov;57:27–32. doi:10.1016/j.jdsr.2020.12.003.
 
21.
Hresko A, Burtyn O, Pavlovskiy L, Snisarevskyi P, Lapshyna J, Chepurnyi Y, Kopchak A, Karagozoglu KH, Forouzanfar T. Controversies in ameloblastoma management: evaluation of decision making, based on a retrospective analysis. Med Oral Patol Oral Cir Bucal. 2021 Mar 1;26(2):e181-e186. doi:10.4317/medoral.24104.
 
22.
Pappalardo M, Tsao CK, Tsang ML, Zheng J, Chang YM, Tsai CY. Long-term outcome of patients with or without osseointegrated implants after resection of mandibular ameloblastoma and reconstruction with vascularized bone graft: Functional assessment and quality of life. J Plast Reconstr Aesthet Surg. 2018 Jul;71(7):1076–1085. doi:10.1016/j.bjps.2018.03.008.
 
23.
Lonie S, Herle P, Paddle A, Pradhan N, Birch T, Shayan R. Mandibular reconstruction: meta-analysis of iliac – versus fibula-free flaps. ANZ J Surg. 2016 May;86(5):337–42. doi:10.1111/ans.13274.
 
24.
Cariati P, Farhat MC, Dyalram D, Ferrari S, Lubek JE. The deep circumflex iliac artery free flap in maxillofacial reconstruction: a comparative institutional analysis. Oral Maxillofac Surg. 2021 Sep;25(3):395–400. doi:10.1007/s10006-020-00930-y.
 
25.
Oteri G, Ponte FS, Pisano M, Cicciù M. Five years follow-up of implant-prosthetic rehabilitation on a patient after mandibular ameloblastoma removal and ridge reconstruction by fibula graft and bone distraction. Dent Res J (Isfahan). 2012 Mar;9(2):226–32. doi:10.4103/1735-3327.95241.
 
26.
Tarsitano A, Sgarzani R, Betti E, Oranges CM, Contedini F, Cipriani R, Marchetti C. Vascular pedicle ossification of free fibular flap: is it a rare phenomenon? Is it possible to avoid this risk? Acta Otorhinolaryngol Ital. 2013 Oct;33(5):307–10.
 
27.
Wolff KD, Hölzle F, Kolk A, Hohlweg-Majert B, Steiner T, Kesting MR. Raising the osteocutaneous fibular flap for oral reconstruction with reduced tissue alteration. J Oral Maxillofac Surg. 2011 Jun;69(6):e260–7. doi:10.1016/j.joms.2010.11.040.
 
28.
Piotrowska-Seweryn A, Szymczyk C, Walczak DA, Krakowczyk Ł, Maciejewski A, Hadasik G, Wierzgoń J, Szumniak R, Drozdowski P, Paul P, Grajek M. Fibular Free Flap and Iliac Crest Free Flap Mandibular Reconstruction In Patients With Mandibular Ameloblastomas. J Craniofac Surg. 2022 Oct 1;33(7):1962–1970. doi:10.1097/SCS.0000000000008524.
 
29.
Sannomiya EK, Silva JV, Brito AA, Saez DM, Angelieri F, Dalben Gda S. Surgical planning for resection of an ameloblastoma and reconstruction of the mandible using a selective laser sintering 3D biomodel. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Jul;106(1):e36–40. doi:10.1016/j.tripleo.2008.01.014.
 
30.
Yu Y, Zhang WB, Wang Y, Liu XJ, Guo CB, Peng X. A Revised Approach for Mandibular Reconstruction With the Vascularized Iliac Crest Flap Using Virtual Surgical Planning and Surgical Navigation. J Oral Maxillofac Surg. 2016 Jun;74(6):1285.e1–1285.e11. doi:10.1016/j.joms.2016.02.021.
 
31.
Shu DL, Liu XZ, Guo B, Ran W, Liao X, Zhang YY. Accuracy of using computer-aided rapid prototyping templates for mandible reconstruction with an iliac crest graft. World J Surg Oncol. 2014 Jun 24;12:190. doi:10.1186/1477-7819-12-190.
 
32.
Mazzola F, Smithers F, Cheng K, Mukherjee P, Hubert Low TH, Ch’ng S, Palme CE, Clark JR. Time and cost-analysis of virtual surgical planning for head and neck reconstruction: A matched pair analysis. Oral Oncol. 2020 Jan;100:104491. doi:10.1016/j.oraloncology.2019.104491.
 
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