Recurrent ameloblastoma of the mandible: two cases report

ABSTRACT

Six cases of ameloblastoma were treated by enucleation and peripheral osteoctomy during 1992-2001. Histologically, desmoplastic reaction, epithelial cells with severe fibrous, and keratin formation in the acanthomatous follicles were seen. The disorder was in the mandible in five cases, and in the maxilla in one case. Two cases were male and four were female, and the age at surgery was between 20 to 28 years. For all cases, a uniform surgical protocol was applied. The lesions were removed primarily by enucleation with peripheral ostectomy. There was recurrence in two cases. An enbloc resection was done for the first case and a radical resection with titanium bone plate reconstruction for the second case. The patients did not have any problem, bone grafting being recommended for the first case as soon as possible. Based on our knowledge, the procedure was successful in approximately 70% of cases, but more radical surgery methods may be recommended in the initial surgery