Article information
Resumo
Apresenta-se o caso dum volumoso ameloblastoma uniquístico da mandíbula num jovem de 17 anos. O tratamento consistiu na ressecção segmentar do ramo esquerdo da mandíbula e posterior reconstrução com enxerto ósseo colhido da crista ilíaca posterior, com bons resultados morfológicos e funcionais. Tem uma evolução de 7 anos, livre de recidivas. Porque o tratamento dos ameloblastomas constitui um dilema para o cirurgião, sobretudo em jovens, foi feita uma revisão e análise das opções terapêuticas e chama-se a atenção para a importância da caracterização histológica dada a maior agressividade da variante mural.
Palavras-Chave:
Ameloblastoma uniquístico
Reconstrução mandibular
Abstract
The authors report a case of a large mandibular unicystic ameloblastoma in a 17 year old male. Surgical management included a segmental resection and reconstruction using posterior iliac crest bone graft, with good morphologic and functional outcome. No recurrence observed in a 7 year period follow-up. Treatment of ameloblastoma is a surgeon's dilemma. The authors analyse therapeutic options and remember that histologic characterization is mandatory and that mural lesions deserve more aggressive treatments.
Key-words:
Unicystic ameloblastoma
Mandibular reconstruction
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(Nunes da Silva L, Cabrita F. Ameloblastoma Uniquístico: A propósito de um Caso. Rev Port Estomatol Cir Maxilofac 2008;49:221–231)
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