MANAGEMENT OF A CASE OF UNICYSTIC AMELOBLASTOMA IN THE ODONTOSTOMATOLOGY DEPARTMENT OF THE IDRISSA POUYE GENERAL HOSPITAL IN DAKAR

Keyword: Decompression, Enucleation, Unicystic ameloblastoma, monogeodic image.

Introduction: Unicystic ameloblastoma is a benign, locally aggressive odontogenic tumor that primarily affects young adults and is preferentially located in the posterior mandible. Its slow and asymptomatic progression often delays diagnosis. Conservative treatment with decompression can reduce tumor volume before definitive surgery. The objective of this study was to demonstrate the value of decompression in the management of large unicystic ameloblastomas.
Clinical case: A 20-year-old female patient was referred for a right mandibular swelling that had been evolving for two years. An extraoral examination revealed a right mandibular swelling. An intraoral examination revealed vestibular filling extending from tooth 45 to the angle of the mandible. The mucosa covering the swelling appeared healthy. The orthopantomogram revealed a well-demarcated monogeodic radiolucency at the right mandibular angle, with marked thinning of the basilar margin. The presumed diagnosis was a benign tumor. Ameloblastoma was suspected based on the deformation of both cortices, localized ruptures of the external and internal bone cortices, rhyzalysis of the dental roots, tooth mobility and displacement, enlarged alveolar walls, and the presence of a healthy covering mucosa. Initial decompression significantly reduced the size of the lesion. After 12 months, surgical enucleation was performed. Histology confirmed the diagnosis of ameloblastoma. The postoperative course was favorable, with no recurrence at one year.
Conclusion: Decompression, the first-line treatment option, reduced the tumor volume, thus facilitating its enucleation.
Bibliography reference: Piotrowska-Seweryn, Agnieszka MD, Szymczyk, Cezary MD.Fibular free flap and iliac crest free flap mandibular reconstruction in patients With mandibular ameloblastomas. J Craniofac Surg. 2022 ;33(7) :1962-1970.Yoithapprabhunath TR, Srichinthu KK, Dineshshankar Janardhanam.Prevalence and Epidemiological Profile of Ameloblastoma in India a systematic Review and Meta-Analyses.Asi Pac J Cancer Prev. 2022 ;23(11) :3601-3610. Fahmi M. Salih, Hawro Taha Hamza, Sami Saleem Omar, Hana Rizgar et al. Locally Aggressive Case of Ameloblastoma With 15 Years Follow Up: a case report.Iraq Med J. 2023;7(4):313-317.

Tags:
#Ameloblastoma #UnicysticAmeloblastoma #OralSurgery #Odontostomatology #OralPathology #MaxillofacialSurgery #DentalTumor #DentalCaseReport #OralHealth #OralMedicine #JawTumor #MandibularLesion #OralRadiology #Histopathology #DentalCare #DentistryResearch #ClinicalDentistry #OralDiagnosis #DakarHospital #IdrissaPouyeHospital #DentalManagement #DentalScience #SurgicalDentistry #DentalTreatment #OralLesion #DentalPractice #DentalSurgeon #OralAndMaxillofacial #OdontogenicTumor #DentalOncology #DentalStudy #OralSurgeryCase #OralCyst #MandibularPathology #AmeloblastomaCase #CaseReport #OralTumorManagement #DentalPathology #DentalAwareness #MedicalDentistry #OralTumor #SurgicalCaseReport #MaxillofacialCase #OralCaseStudy #DentalResearch #OralHealthCare #OralBiopsy #OralTumorSurgery #DentalClinic #OralHistology #ClinicalCase

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