Naslov
Surgical resection of maxillary ameloblastoma with radial forearm free flap reconstruction – a case report
(Surgical resection of maxillary ameloblastoma with radial forearm free flap reconstruction – a case report)

Autori
Bjelica, Roko ; Blivajs, Igor ; Biloš, Jerko ; Vuletić, Marko ; Gabrić, Dragana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Sažeci 15. kongresa Hrvatskog društva za maksilofacijalnu, plastičnu i rekonstrukcijsku kirurgiju glave i vrata i 9. kongresa Hrvatskog društva za oralnu kirurgiju s međunarodnim sudjelovanjem. U: Acta Stomatologica Croatica 2022 ; 56(4) / Belušić-Gobić, Margita - Zagreb : Stomatolški fakultet Sveučilišta u Zagrebu, 2022, 425-425

Skup
15th International Congress of the Croatian Society of Maxillofacial, Plastic and Reconstructive Head and Neck Surgery 9th International Congress of the Croatian Society of Oral Surgery

Mjesto i datum
Zagreb, Hrvatska, 06.10.2022. - 08.10.2022

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
ameloblastoma ; resection ; free tissue flap ; reconstructive surgical procedure

Sažetak
Introduction: Ameloblastoma is a benign, epithelial odontogenic tumor of ectodermal origin. Although it only accounts for 1% of the tumors of the jaw, it is the most frequent odontogenic tumor. More than 80% of ameloblastoma affect the mandible, predominantly the mandible angulus. Despite its affiliation with benign tumors, it is locally invasive with a tendency of destroying surrounding tissues, recurrence and malignant transformation. It usually occurs between 30 and 50 years of age and affects both sexes equally. There are several types of ameloblastoma, divided into: conventional, unicystic, peripheral and metastatic. The clinical picture of ameloblastoma is not specific and there are no patognomonic signs. The most common presence is painless, slow- growing swelling, and the disease is often discovered as a random finding during routine radiological examination. Ameloblastoma therapy is primarily surgical, and there are two approaches: conservative and radical. Radical resection with a wide surgical margin is considered a method of choice with low recurrence rate. The conservative approach includes enucleation and curettage with the aim of minimal invasiveness and preservation of adjacent structures. The case of surgical resection of maxillary ameloblastoma and reconstruction of the defect with radial forearm free flap will be presented. Case report: A patient aged 62 years comes to the Department of Otorhinolaryngology and Maxillofacial Surgery of the Clinical Hospital Centre Zagreb for the planned surgery of the remnants of maxillary ameloblastoma resected 8 months ago. The post- operative CT showed the remnant in dorsal part of the alveolar process and maxillary tuberosity, and anteriorly along the edge of the surgical field. The surgical field is accessed by elevating upper cheek flap with Weber-Ferguson incision and tumor resection by partial maxillectomy is performed. The defect in the maxilla is immediately reconstructed by radial forearm free flap. Conclusion: It is concluded that radical resection with adequate healthy margin is a golden standard in the treatment of ameloblastoma. The radial forearm free flap is considered aesthetic and functionally ideal tissue in the reconstruction of intraoral defects.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

POVEZANOST RADA