Management of Giant Mandibular Ameloblastoma — A Case Report

Ameloblastomas are rare, locally invasive and slowly growing and tumours with high recurrence rate. If they are not treated on time, they can reach an emormous size. Benign mandibular swellings are broadly divided into odontogenic and non-odontogenic tumours. Ameloblastoma is one of the most common benign tumours of odontogenic origin which developed from epithelial cells and its elements and dental tissues in their various phases of development. Patients with Giant Ameloblastomas are very rare but they are widely found and diagnosed in developing countries because of painless growth and patient’s fear of Surgery leading to delayed treatment. This paper presents a case of large Ameloblastoma of left side of mandible in a 25-year-old female patient which was successfully resected in toto. Patient refused for free fibula flap re-construction of the defect because of her apprehension for donor site morbidity

Radical resection of giant ameloblastoma mandible with free fibula reconstruction: a case report and review of literature

The ameloblastoma is a rare odontogenic tumor of the oral cavity. It is slow growing, locally invasive benign tumor affecting mandible more than maxilla mostly in age group 30-60 years. It grows in bone and soft tissue causing facial disfigurement. Treatment is surgical taking wide margins. This case report describes the treatment of a 30-year-old female having right side jaw swelling since two years, fine needle aspiration cytology was suggestive of ameloblastoma. Right hemi mandibulectomy was done by head and neck surgery team and reconstruction was done by plastic surgery team using free fibula flap. The free fibula osteocutaneous flap is the most versatile and reliable option for microsurgical reconstruction of large mandibular defects.