Conservative treatment of ameloblastoma in a paediatric patient: A case report

Publication date: Available online 25 February 2019

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Risimati Ephraim Rikhotso, Vinayagie Premviyasa

Abstract

Purpose

Ameloblastomas typically occur in adults but is considered a rarity in the paediatric patient population. We report on the treatment outcome of a paediatric patient who presented with a unicystic ameloblastoma in the mandible

Material and Methods

A 15-year old boy presented with a large, expansile lesion in the ramus angle region of the mandible. Incisional biopsy confirmed the lesion as a Type II unicystic ameloblastoma. Treatment consisted of unroofing of the bone overlying the lesion followed by enucleation with peripheral ostectomy. A 10 mL disposable Luer-Lock syringe was cut and modified to fit into the window of the lesion to facilitate irrigation with saline. The disposable syringe was held in position with 0.18 mm stainless steel wire for 3 months.

Conclusion

Modification of the conservative treatment using the syringe allowed for complete regeneration of bone in the large cavity without the need for bone graft or resection of the lesion. At the 3-year follow-up there was no sign of recurrence.

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