China Journal of Oral and Maxillofacial Surgery ›› 2021, Vol. 19 ›› Issue (3): 258-261.doi: 10.19438/j.cjoms.2021.03.015

• Clinical Reports • Previous Articles     Next Articles

Clinical analysis of intraosseous curettage combined with decompression in the treatment of mandibular solid ameloblastoma: report of 24 consecutive cases

HE Jie, TIAN Zhuo-wei, HU Yong-jie, WANG Yan-an   

  1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2020-05-25 Revised:2020-09-13 Published:2021-07-16

Abstract: PURPOSE: To evaluate the effect of intraosseous curettage combined with decompression using for mandibular solid ameloblastoma treatment. METHODS: Twenty-four cases with unilocular or multilocular solid ameloblastoma of the mandible received intraosseous curettage combined with decompression from Jan. 2017 to Dec. 2018. The primary evaluation parameter was the percentage of the residual cyst area within 1-year follow-up after surgery. RESULTS: A total of 24 cases were included in this study. After 12-24 months of consecutive follow-up, the tumor cavities shrank to different extent without recurrence and osteogenesis was good. Compared with preoperative panorama and CT scan, six cases were ranked as no response (stable), ten were partial response and the remaining eight cases were classified as complete response. The overall efficiency was 75.0%. CONCLUSIONS: Intraosseous curettage combined with decompression is an effective therapeutic method for solid ameloblastoma of the mandible.

Key words: Curettage and decompression, Mandible, Solid ameloblastoma

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