12/12/2024
Robinson in 1937 described ameloblastoma as a benign tumor that is usually “unicentric, nonfunctional, intermittent in growth, anatomically benign and clinically persistent.”
This young male patient came with a complaint of swelling and numbness on his left lower jaw region. A biopsy was performed which revealed it to be follicular ameloblastoma,a benign tumor of the jaw.
On a personal level and as per medical literature, the standard treatment of choice is more radical involving a segmental or hemimandibulectomy (based on the extent of tumor) followed by a FOFF reconstruction. In this case the patient opted for a less radical approach and we performed a thorough enucleation/curretage alongwith chemical cauterisation intralesionally, through a transoral approach.
The following images show two scans within a span of 1 year and we can appreciate the amount of bone regained in the operated site, in the ramus and lower mandibular border region. There is no radiological and clinical evidence of a recurrence so far and patient has gained back the sensory function of left lower jaw region.
Periodic follow ups are a must in such a approach in the lookout of any recurrence .
