A treatment algorithm for adult ameloblastomas according to the Pitié-Salpêtrière Hospital experience.

Abstract

During a 13-year period (from 1994 to 2007), in the Oral and Maxillofacial Surgery Department of the Pitié-Salpêtrière Hospital, 116 new cases of adult ameloblastomas, were analyzed for treatment composed against radiographic presentation, size, histological type. Follow-up and recurrence were also analyzed. Treatment was surgical consisting of enucleations (82%), segmental mandibulectomy (8.3%) resections (24.7%) 85% of them underwent reconstruction. The follow-up was documented for 97%. More than two recurrences occurred in 21% of the patients after the first enucleation: 66% with a "follicular" histological diagnosis. Lenthly, a therapeutic algorithm is suggested for adult ameloblastomas that underlines the importance of the conservative enucleation treatment as far as possible.

• Authors: Catherine Escande, André Chaine, Philippe Menard, Didier Ernenwein, Sonia Ghoul, Ayman Bouattour, Ariane Berdal, Jacques-Charles Bertrand, Blandine Ruhin-Poncet
• Journal: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery (J Craniomaxillofac Surg) Vol. 37 Issue 7 Pg. 363-9 (Oct 2009) ISSN: 1878-4119 [Electronic] Scotland
• PMID: 19559625 (Publication Type: Journal Article)

Topics

• Adult
• Algorithms
• Ameloblastoma (diagnosis, therapy)
• Clinical Protocols
• Decision Trees
• Humans
• Mandibular Neoplasms (diagnosis, therapy)
• Maxillary Neoplasms (diagnosis, therapy)
• Neoplasm Recurrence, Local (prevention & control, therapy)
• Oral Surgical Procedures (methods)
• Plastic Surgery Procedures (methods)
• Retrospective Studies
• Severity of Illness Index
• Treatment Outcome