Surgical treatment of recurring ameloblastoma, are there options?

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Surgical treatment of recurring ameloblastoma, are there options?

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Publication Article, peer reviewed scientific
Title Surgical treatment of recurring ameloblastoma, are there options?
Author(s) Hammarfjord, Oscar ; Roslund, Johan ; Abrahamsson, Peter ; Nilsson, Peter ; Thor, Andreas ; Magnusson, Mikael ; Kjeller, Göran ; Englesson-Sahlström, Charlotta ; Strandkvist, Tomas ; Warfvinge, Gunnar ; Krüger-Weiner, Carina
Date 2013
English abstract
Our aim was to evaluate the treatment given to patients with intraosseus ameloblastomas with special emphasis on recurrence and the outcomes of primary and secondary resection. Forty-eight patients who were treated for intraosseous ameloblastoma at 8 centres across Sweden met the inclusion criteria. They showed typical distribution of age, sex, site of lesion, and characteristic presenting features. Eleven of the 48 were initially treated with radical resection and none recurred. Twenty-two of the remaining 37 who were initially treated by conservative resection presented with recurrences. Sixteen of the 22 then had conservative secondary resections, which resulted in further recurrence in 6 patients. Initial radical resection is therefore superior to conservative management as far as recurrences are concerned. We argue, however, that a conservative surgical approach is adequate for many intraosseous ameloblastomas with limited extension, because relapse can be followed by radical resection if clinically indicated in selected cases.
DOI (link to publisher's fulltext)
Publisher Elsevier
Host/Issue British Journal of Oral and Maxillofacial Surgery;8
Volume 51
ISSN 0266-4356
Pages 762-6
Language eng (iso)
Subject(s) Medicine
Research Subject Categories::ODONTOLOGY
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