Evaluation of the treatment plans for 46 cases of ameloblastoma

Abstract

AbstractThe purpose of this study is to evaluate the treatment plans selection of different types of ameloblastoma & its effect on prognosis depend on fallow up for different periodsThis study represent the experience of author in treatment of 46 ameloblastoma cases in the period between January 2004 to August 2008 at AL-Hilla general teaching Hospital maxillofacial department & AL-Abass private Hospital. 46 patients are recorded in this study complainnig from different types of ameloblastoma, 28 were males constituting 61% while18 were females constituting 39%. The youngest patient was 13 years, while the oldest one was 55 years & the mean age was 34 years. 26 case conventional type (multilocular), 10 cases unilocular, 2 extraosseous & 8 malignant ameloblastoma All the conventional types were treated by resection with immediate reconstruction, unilocular cases by curettage, extraosseous by local resection & malignant ameloblastoma by resection with selective neck dissection. Successful treatment of ameloblastoma depends on correct selection of treatment plan. In this study the recurrence occurs only in the maxilla in cases treated by curettage may be due to nature of maxillary bone Therefore, local resection with immediate reconstruction is the preferred choice.