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Article: Maxillary ameloblastomas: A review of the literature and of a 15-year database

TitleMaxillary ameloblastomas: A review of the literature and of a 15-year database
Authors
Issue Date2002
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/jcms
Citation
Journal Of Cranio-Maxillofacial Surgery, 2002, v. 30 n. 5, p. 273-279 How to Cite?
AbstractIntroduction: Cases of maxillary ameloblastomas from 15-year database (1986-2000) collected in the Department of Cranio-Maxillofacial Surgery of the University Hospital of Zurich were evaluated. Patients: Twenty-six patients suffering from ameloblastoma had been collected. Five of them, had a maxillary ameloblastoma, three females and two males. Methods: A clinical retrospective study was performed. In addition a review of the literature was undertaken and the findings have been compared and contrasted. Patients: The overall incidence of ameloblastoma within the mandible (21) was four times higher than in the maxilla (5). In 69 per cent of the cases (18) it occurred in men, in 31 percent (8) in women. The sex ratio differed with the maxillary ameloblastomas: 40 percent male (2) and 60 per cent female (3). Although slow growing and nearly painless, it can reach a considerable size within the mid-face involving such highly specialized structures as the orbit, skull-base and brain. Wide resections with a safety margin of healthy bone to prevent local recurrence were undertaken. Nevertheless, recurrence was frequent due to invasion of the adjacent bone. Conclusion: On the one hand, a recurrence was found after a simple curettage of a 'dental cyst'. On the other hand, extensive bone destruction, involvement of the nasal cavity, the ethmoidal and sphenoidal sinuses, infiltration of the skull-base and distant metastasis were observed. The current treatment of choice is partial maxillectomy with a 10-15 mm safety margin of healthy bone including the alveolar ridge, the hard palate, the mucosa of the maxillary sinus and the lateral nasal wall. For the removal of tumours close to or invading the retromaxillary space the temporal approach gives ample access. © 2002 European Association for Cranio-Maxillofacial Surgery. Published by Elsevier Science Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/154212
ISSN
2015 Impact Factor: 1.592
2015 SCImago Journal Rankings: 1.010
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZwahlen, RAen_US
dc.contributor.authorGrätz, KWen_US
dc.date.accessioned2012-08-08T08:23:54Z-
dc.date.available2012-08-08T08:23:54Z-
dc.date.issued2002en_US
dc.identifier.citationJournal Of Cranio-Maxillofacial Surgery, 2002, v. 30 n. 5, p. 273-279en_US
dc.identifier.issn1010-5182en_US
dc.identifier.urihttp://hdl.handle.net/10722/154212-
dc.description.abstractIntroduction: Cases of maxillary ameloblastomas from 15-year database (1986-2000) collected in the Department of Cranio-Maxillofacial Surgery of the University Hospital of Zurich were evaluated. Patients: Twenty-six patients suffering from ameloblastoma had been collected. Five of them, had a maxillary ameloblastoma, three females and two males. Methods: A clinical retrospective study was performed. In addition a review of the literature was undertaken and the findings have been compared and contrasted. Patients: The overall incidence of ameloblastoma within the mandible (21) was four times higher than in the maxilla (5). In 69 per cent of the cases (18) it occurred in men, in 31 percent (8) in women. The sex ratio differed with the maxillary ameloblastomas: 40 percent male (2) and 60 per cent female (3). Although slow growing and nearly painless, it can reach a considerable size within the mid-face involving such highly specialized structures as the orbit, skull-base and brain. Wide resections with a safety margin of healthy bone to prevent local recurrence were undertaken. Nevertheless, recurrence was frequent due to invasion of the adjacent bone. Conclusion: On the one hand, a recurrence was found after a simple curettage of a 'dental cyst'. On the other hand, extensive bone destruction, involvement of the nasal cavity, the ethmoidal and sphenoidal sinuses, infiltration of the skull-base and distant metastasis were observed. The current treatment of choice is partial maxillectomy with a 10-15 mm safety margin of healthy bone including the alveolar ridge, the hard palate, the mucosa of the maxillary sinus and the lateral nasal wall. For the removal of tumours close to or invading the retromaxillary space the temporal approach gives ample access. © 2002 European Association for Cranio-Maxillofacial Surgery. Published by Elsevier Science Ltd. All rights reserved.en_US
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/jcmsen_US
dc.relation.ispartofJournal of Cranio-Maxillofacial Surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAmeloblastoma - Pathology - Secondary - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Neoplasms - Secondaryen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMaxillary Neoplasms - Pathology - Surgeryen_US
dc.subject.meshNeoplasm Recurrence, Localen_US
dc.subject.meshOral Surgical Proceduresen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSex Ratioen_US
dc.titleMaxillary ameloblastomas: A review of the literature and of a 15-year databaseen_US
dc.typeArticleen_US
dc.identifier.emailZwahlen, RA:zwahlen@hku.hken_US
dc.identifier.authorityZwahlen, RA=rp00055en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S1010-5182(02)90317-3en_US
dc.identifier.pmid12377199-
dc.identifier.scopuseid_2-s2.0-0036773358en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036773358&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume30en_US
dc.identifier.issue5en_US
dc.identifier.spage273en_US
dc.identifier.epage279en_US
dc.identifier.isiWOS:000178945900002-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridZwahlen, RA=7004217269en_US
dc.identifier.scopusauthoridGrätz, KW=7005383755en_US

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