Management of ameloblastoma and its consequences

Abstract

The study considered clinical prospective observation of 113 patients suffered from different variety of ameloblastoma. Among them, 75% female were more often effected. Half (58.8%) of the patient was treated by dredging, 27.1% dredging with carnoys solution, and 33.9% by disarticulation with hemimandibulectomy using reconstruction plate. For the first five years, participants were recalled at every 3, 6 and 12 months, and then after every 2 years. 70% patients were drop out within 2 years and the rest of the patients had varying recurrence rate. The late recurrence recorded only one patient at 16 years of treatment by dredging 3 patient had unusual seedling (distance metastasis) in the lungs one patient in the leg and one patient with scalp. All this distance metastasis patents were treated by different modalities. The distance metastasis cannot rule out in any definite criteria. The study concluded that in case of carnoys solution, the recurrence rate is slow and safe measure to manage the patient without mutilating surgery.