Follicular Ameloblastoma of Maxillary: A Case Report
DOI:
https://doi.org/10.36408/mhjcm.v11i1.1048Keywords:
maxillectomy, ameloblastoma, maxillary tumor, resectionAbstract
Introduction: Ameloblastoma is a benign odontogenic tumor that appears in the mandible and maxilla. Ameloblastoma has slow growth that takes several years for symptoms to appear, but ameloblastoma in the maxilla has a more aggressive clinical course compared to the mandible. The lack of initial symptoms leading to diagnosis at an advanced disease when the tumour has already extended beyond maxilla. The cancellous structure of the maxillary bone makes it easier for tumors to spread to the nasal cavity, paranasal sinuses, orbitals, parapharyngeal tissue and skull base. This article reports a case of resection of maxillary ameloblastoma.
Case Report: A 63 year old female patient came with complaints of a lump on her right cheek since 2 years back that gradually increased in size. Since 2 months ago, pus and blood have been coming out of the lump. Extra oral examination revealed a well-defined mass with a solid and hard consistency, there were no ulcers or fistulas. Intraorally, a mass measuring 5x5x3cm was found in the region of teeth 12 to 15 which extended to the buccal-palatal area. History of allergies and weight loss was denied. Supporting examinations including panoramic radiography, PA chest radiography, CT-Scan, FNAB, and biopsy resulted in a diagnosis of ameloblastoma. Treatment was carried out by resection of the right maxillary tumor mass under general anesthesia.
Discussion: In this case, the patient's clinical examination showed a hard and large palpable swelling in the right maxilla area which extended from the region of tooth 12 to tooth 15 which caused facial asymmetry and no tooth mobility was found. This hard and painless swelling takes about 2 years before the patient experiences symptoms of pus and blood discharge. The post-maxillectomy defect in this case was covered with an intraoral prosthesis in the form of a post-surgical obturator made of acrylic resin. The obturator functions to hold the surgical packing, and prevent food or dirt contamination in the defect area which can cause infection and slow healing. The use of a prosthesis also helps restore swallowing and speech function to the patient.
Conlussion: In principle, the treatment for ameloblastoma is resection of the involved bone, as in this case the action taken is a maxillectomy. Maxillectomy can result in facial and oral cavity deformities characterised by facial disfigurement and alterations in oral functionality.Therefore, maxillary reconstruction is needed to treat maxillary defects after surgical procedures involving the loss of part or all of the maxilla.
Downloads
References
1. Ghai S. Ameloblastoma: An Updated Narrative Review of an Enigmatic Tumor. Cureus. 2022;
2. Evangelou Z, Zarachi A, Dumollard Jm, Peoc’h M, Komnos I, Kastanioudakis I, et al. Maxillary ameloblastoma: A review with clinical, histological and prognostic data of a rare tumor. Vol. 34, In Vivo. International Institute of Anticancer Research; 2020. p. 2249–58.
3. Masthan KMK, Anitha N, Krupaa J, Manikkam S. Ameloblastoma. J Pharm Bioallied Sci. 2015;7:167
4. Lutfianto MB. Penatalaksanaan Kasus Ameloblastoma Unikistik dan Multikistik. Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva. 2019 May 21;8(1):20-4.
5. Petrovic ID, Migliacci, J., Ganly, I., Patel, S., Xu, B., Ghossein, R., Huryn, J. And Shah, J. Ameloblastomas of the mandible and maxilla. Ear, nose, & throat journal. 2018 Jul; 97(7):E26.
6. Iyer S, Thankappa K. Maxillary reconstruction: Current concepts and controversies. Indian J Plast Surg. 2014; 47(1): 8-19.
7. Andrades P, Milithsakh O, Hanasono MM, Rieger J, Rosenthal EL. Current strategies in reconstruction of maxillectomy defect. Arch Otolaryngol Head Neck Surg. 2011; 137(8):806-12.
8. Aditama P, Sugiatno E, Indrastuti M, Wahyuningtyas E. Protesa obturator definitif resin akrilik pada pasien systemic lupus erythematosus (SLE) pasca maksilektomi Acrylic resin definitive obturator prothesis in systemic lupus erythematosus (SLE) patients post maxillectomy. Jurnal Kedokteran Gigi Universitas Padjajaran. 2020;32(2):64-71.
9. Ivana D. Petrovic, DMD; Jocelyn Migliacci, MA; Ian Ganly, MD; Snehal Patel, MD; Bin Xu, MD; Ronald Ghossein, MD; Joseph Huryn, DDS; Jatin Shah M. Ameloblastomas of the mandible and maxilla. Ameloblastomas of the mandible and maxilla. 2018;24(2):148-154. doi:10.1097/MOO.0000000000000238
10. Corsalini M, Barile G, Catapano S, Ciocia A, Casorelli A, Siciliani R, Di Venere D, Capodiferro S. Obturator prosthesis rehabilitation after maxillectomy: functional and aesthetical analysis in 25 patients. International Journal of Environmental Research and Public Health. 2021 Nov 28;18(23):12524.
11. Ghai S. Ameloblastoma: An Updated Narrative Review of an Enigmatic Tumor. Cureus. 2022;
12. Evangelou Z, Zarachi A, Dumollard Jm, Peoc’h M, Komnos I, Kastanioudakis I, et al. Maxillary ameloblastoma: A review with clinical, histological and prognostic data of a rare tumor. Vol. 34, In Vivo. International Institute of Anticancer Research; 2020. p. 2249–58.
13. Masthan KMK, Anitha N, Krupaa J, Manikkam S. Ameloblastoma. J Pharm Biioallied Sci. 2015;7:167
14. Petrovic ID, Migliacci, J., Ganly, I., Patel, S., Xu, B., Ghossein, R., Huryn, J. And Shah, J. Ameloblastomas of the mandible and maxilla. Ear, nose, & throat journal. 2018 Jul; 97(7):E26.
15. Iyer S, Thankappa K. Maxillary reconstruction: Current concepts and controversies. Indian J Plast Surg. 2014; 47(1): 8-19.
16. Andrades P, Milithsakh O, Hanasono MM, Rieger J, Rosenthal EL. Current strategies in reconstruction of maxillectomy defect. Arch Otolaryngol Head Neck Surg. 2011; 137(8):806-12.
17. Aditama P, Sugiatno E, Indrastuti M, Wahyuningtyas E. Protesa obturator definitif resin akrilik pada pasien systemic lupus erythematosus (SLE) pasca maksilektomi Acrylic resin definitive obturator prothesis in systemic lupus erythematosus (SLE) patients post maxillectomy. Jurnal Kedokteran Gigi Universitas Padjajaran. 2020;32(2):64-71.
Additional Files
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2024 Athalaila Azzahrasukma Sakuntala, Efika Choirunisa, Septa Santiya Arini, Johanna Kezia Prajogo, Muhammad Reza Pahlevi (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.
