DECOMPRESSION IN FOLLICULAR AMELOBLASTOMA: A CASE REPORT

A 13-year-old male patient presented with an extra-oral swelling that was associated with an intra-oral lesion. The intra-oral swelling had a bony consistency and was located near the lower right first molar. Radiographic examination revealed an extensive, well-defined, unilocular radiolucent lesion...

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Bibliographic Details
Published in:Oral surgery, oral medicine, oral pathology and oral radiology Vol. 137; no. 6; p. e170
Main Authors: ZANARDO, Victoria, PILATI, Paulo Vinicius Fontanella, MARQUES, Gabriel, FLAUSINO, Carolina Simão, KNIESS, Eduarda, TRAPP, Luiza Veloso, PILATI, Sarah Freygang Mendes
Format: Journal Article
Language:English
Published: Elsevier Inc 01-06-2024
Online Access:Get full text
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Summary:A 13-year-old male patient presented with an extra-oral swelling that was associated with an intra-oral lesion. The intra-oral swelling had a bony consistency and was located near the lower right first molar. Radiographic examination revealed an extensive, well-defined, unilocular radiolucent lesion measuring 10 cm in its largest diameter, with displacement of tooth 48. An intralesional puncture yielded citrine liquid content, and an incisional biopsy was performed, which revealed a cystic capsule. The treatment approach chosen was decompression, and after 14 days, a significant reduction in the lesion's dimensions was observed during the extra-oral physical examination, accompanied by an improvement in mouth opening. A follow-up histopathological examination indicated a diagnosis of follicular ameloblastoma. After 90 days, a substantial reduction in the lesion size was noted on a Computed Tomography scan, with considerable bone formation observed in the mandible. The patient is currently undergoing continued follow-up care.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2023.12.113