Effectiveness of a new decisional algorithm in managing mandibular ameloblastomas
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Date
2008-04-01
Authors
Adeyemo, W.L.
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Letters to the Editor
Effectiveness of a new decisional algorithm in managing mandibular ameloblastomas
Sammartino et al.1 recently proposed a new treatment algorithm which advocates conservative surgical management
for mandibular ameloblastoma. Small ameloblastomas were treated by wide resection, including at least 1 cm of
peripheral apparently uninvolved bone in the ostectomy, while large lesions without perforation of the cortex were
treated conservatively (curettage) and those with cortical perforation were treated by resection with overlying soft
tissues.1 Accordingly, close follow-up was deemed necessary in cases treated conservatively, to identify subsequent
recurrences immediately and treat them more aggressively.1 Despite the obvious high recurrence rate in their study, the authors1 recommended that large ameloblastoma with no cortical perforation be treated by curettage with 0.5–1 cm of clinically uninvolved surround bone. The present body of knowledge based on previous publications2–4 on the behaviour of ameloblastoma does not support this algorithm. Ameloblastoma is considered to be a benign, but locally invasive odontogenic tumour with a high rate of recurrence.5
Description
Staff publications
Keywords
Ameloblastoma , Decisional algorithm
Citation
Adeyemo WL. Effectiveness of a new decisional algorithm in managing mandibular ameloblastomas. Br J Oral Maxillofac Surg. 2008 Apr;46(3):257. doi: 10.1016/j.bjoms.2007.08.002. Epub 2007 Sep 27. No abstract available.