Skip to main content

Advertisement

SpringerLink
Log in

Recurrent Ameloblastoma in the Free Fibula Flap: Review of Literature and an Unusual Case Report

  • Case Report
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Ameloblastoma is the second most common odontogenic tumor of the oral cavity with the primary site being the mandible. The ratio of maxillomandibular involvement however is 5:1 in favor of the mandible. The most common complaint is a painless swelling over the mandibular area. Despite its benign nature, ameloblastoma has a high local recurrence rate, with the most recurrences seen within 5 years after operation. Biopsy and radiological evaluation may be helpful in differentiating the subtypes of ameloblastoma. Differentiation is important because some subtypes are more aggressive than the others. Preoperative planning may be done according to this classification, which can help decrease the recurrence rate. In our case, a 26-year-old female patient with recurrent ameloblastoma which developed on the fibular flap is presented. The free fibular flap and the left parasymphyseal part of the mandible were totally excised. Ameloblastoma was confirmed on pathological examination. We reconstructed the left mandibular site with a reconstruction plate and recurrence was not seen during follow up period.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Amzerin M, Fadoukhair Z, Belbaraka R, Iraqui M, Boutayeb S, M’rabti H, Kebdani T, Hassouni K, Benjaafar N, El Gueddari BK, Errihani H (2011) Metastatic ameloblastoma responding to combination chemotherapy: case report and review of the literature. J Med Case Rep 3(5):491

    Article  Google Scholar 

  2. Brazis PW, Miller NR, Lee AG, Holliday MJ (1995) Neuro-ophthalmologic aspects of ameloblastoma. Skull Base Surg 5(4):233–244

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Avon SL, McComb J, Clokie C (2003) Ameloblastic carcinoma: case report and literature review. J Can Dent Assoc 69(9):573–576

    PubMed  Google Scholar 

  4. Cusack JW (1827) Report of the amputation of the lower jaw. Dublin Hosp Rec 4:1–38

    Google Scholar 

  5. Malassez L (1885) Sur Le role des debris epitheliaux papdentaires. Arch Physiol Norm Pathol 5:309–340, 6:379–449

  6. Ivery RH, Churchill L (1930) The need of a standardized surgical and pathological classification of tumors and anomalies of dental origin. Am Assoc Dent Sch Trans 7:240–245

    Google Scholar 

  7. Chauhan DS, Guruprasad Y (2011) Plexiform ameloblastoma of the mandible. J Clin Imaging Sci 1:61

    Article  PubMed Central  PubMed  Google Scholar 

  8. Reichart PA, Philipsen HP, Sonner S (1995) Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol 31B(2):86–99

    Article  CAS  PubMed  Google Scholar 

  9. Kim SG, Jang HS (2001) Ameloblastoma: a clinical, radiographic, and histopathologic analysis of 71 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91(6):649–653

    Article  CAS  PubMed  Google Scholar 

  10. Jordan RCK, Speight PM (2009) Current concepts of odontogenic tumours. Diagn Histopathol 15(6):303–310

    Article  Google Scholar 

  11. Ciment LM, Ciment AJ (2002) Malignant ameloblastoma metastatic to lungs 29 years after primary resection. Chest 121:1359–1361

    Article  PubMed  Google Scholar 

  12. Henderson JM, Sonnet JR, Schlesinger C, Ord RA (1999) Pulmonary metastasis of ameloblastoma: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88(2):170–176

    Article  CAS  PubMed  Google Scholar 

  13. Gilijamse M, Leemans CR, Winters HA, Schulten EA, van der Waal I (2007) Metastasizing ameloblastoma. Int J Oral Maxillofac Surg 36(5):462–464

    Article  CAS  PubMed  Google Scholar 

  14. Gardner DG (1994) Controversies in the nomenclature, diagnosis and treatment of ameloblastoma. In: Worthington P, Evans JR (eds) Controversies in oral and maxillofac surgery. Saunders, Philadelphia, p 362

    Google Scholar 

  15. Tozaki m, Hayashi K, Fukuda K (2001) Dynamic multislice helical CT of maxillomandibular lesion: distinction of ameloblastoma from other cystic lesions. Radiat Med 91:649–653

    Google Scholar 

  16. Rastogi V, Pandilwar PK, Maitra S (2010) Ameloblastoma: an evidence based study. J Maxillofac Oral Surg 9(2):173–177

    Article  PubMed Central  PubMed  Google Scholar 

  17. Feinberg SE, Steinberg B (1996) Surgical management of ameloblastoma. Current status of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 81(4):383–388

    Article  CAS  PubMed  Google Scholar 

  18. Gardner DG (1996) Some current concepts on the pathology of ameloblastoma. Oral Surg Med Oral Pathol Oral Radiol Endod 82(6):660–669

    Article  CAS  Google Scholar 

  19. Olaitan AA, Arole G, Adekey EO (1998) Recurrent ameloblastoma of jaw: a follow-up study. Int J Oral Maxillofac Surg 27:456–460

    Article  CAS  PubMed  Google Scholar 

  20. William TP (1993) Management of ameloblastoma: A changing perspective. J Oral Maxillofac Surg 51:1064–1070

    Article  Google Scholar 

  21. Adekeye EO, Lavery KM (1986) Recurrent ameloblastoma of the maxillofacial region. J Maxillofac Surg 14:153–157

    Article  CAS  PubMed  Google Scholar 

  22. Collings SJ, Harrison A (1993) Recurrent ameloblastoma? A historic case report and a review of literature. Br Dent J 174:202–206

    Article  CAS  PubMed  Google Scholar 

  23. Gardner DG, Pecak AM (1980) The treatment of ameloblastoma based on pathologic and anatomic principle. Cancer 46:2514–2519

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Plastic, Reconstructive and Aesthetic Surgery Clinic, Okmeydani Training and Research Hospital, Darulaceze cad. No: 25 Şişli, Istanbul, Turkey

    Salih Onur Basat, Cagdas Orman, Tolga Aksan & İlker Üsçetin

  2. Acibadem Fulya Hospital, Istanbul, Turkey

    Ali Rıza Öreroğlu

  3. Department of Plastic, Reconstructive and Aesthetic Surgery, Medipol University, Istanbul, Turkey

    Mithat Akan

Authors
  1. Salih Onur Basat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ali Rıza Öreroğlu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Cagdas Orman
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tolga Aksan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. İlker Üsçetin
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Mithat Akan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Cagdas Orman.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Basat, S.O., Öreroğlu, A.R., Orman, C. et al. Recurrent Ameloblastoma in the Free Fibula Flap: Review of Literature and an Unusual Case Report. J. Maxillofac. Oral Surg. 14, 821–825 (2015). https://doi.org/10.1007/s12663-014-0704-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-014-0704-y

Keywords

Search

Navigation