Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CASE REPORT OF TREATMENT OF RECURRENT GRANULAR-TYPE AMELOBLASTOMA

하악골에 발생한 재발성 법랑아 세포종의 치험례

  • Yoon, Kyu-Ho (Dept. of Oral & Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Rho, Young-Seo (Dept. of Oral & Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Park, Seong-Won (Dept. of Oral & Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Shin, Myoung-Sang (Dept. of Oral & Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Jeon, In-Seong (Dept. of Oral & Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 윤규호 (인제대학교 의과대학 부속 상계백병원 구강악안면외과학교실) ;
  • 노영서 (인제대학교 의과대학 부속 상계백병원 구강악안면외과학교실) ;
  • 박성원 (인제대학교 의과대학 부속 상계백병원 구강악안면외과학교실) ;
  • 신명상 (인제대학교 의과대학 부속 상계백병원 구강악안면외과학교실) ;
  • 전인성 (인제대학교 의과대학 부속 상계백병원 구강악안면외과학교실)
  • Published : 1994.06.30
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Abstract

The Ameloblastoma is a true neoplasm of enamel organ-type tissue histopathologically. Ameloblastoma is recognized as a benign tumor, but its clinical behavior is locally invasive. Therefore treatment of choice is surgical resection rather than conservative enucleation. This is a case report about En-bloc excision of granular ameloblastoma arising from dentigerous cyst in the right mandibular angle area of 50-year male patient. He visited local clinic with chief complaint of facial swelling on the right mandibular angle area. Surgical removal was performed by cyst enucleation and En-bloc excision with preservation of inferior border of mandible. After 1 year, iliac bone graft was done and hyperbaric oxygen therapy was applied. We obtained a good result of bony regeneration without any sign of recurrence.

본 환자는 하악우측골체부의 심한 종창 및 동통으로 인한 안모 불균형을 주소로 내원한 50세의 남자환자로 조직검사상 법랑아세포종으로 진단하에 하악골 하연을 보존한 marginal resection을 시행한 뒤 임상적 소견 및 주기적인 방사선 사진상을 관찰한 후 장골이식을 시술하여 술후 2년이 경과한 지금까지 재발의 소견없이 기능 및 심미적으로 양호한 치유과정을 보이고 있다.

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