J Korean Assoc Oral Maxillofac Surg 2018; 44(5): 242~247
Conservative surgical treatment for ameloblastoma : a report of three cases
Se-Won Kim1, Yu-Jin Jee1, Deok-Won Lee1, Hyung Kyung Kim2
1Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong,
2Department of Pathology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
Yu-Jin Jee
Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea
TEL: +82-2-440-7517 FAX: +82-2-440-7549
E-mail: omsjyj@khu.ac.kr
ORCID: https://orcid.org/0000-0003-2526-4005
Received March 31, 2018; Revised May 11, 2018; Accepted May 18, 2018.; Published online October 31, 2018.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Ameloblastoma treatment varies based on the clinical, histopathologic, and radiographic characteristics. Aggressive surgical treatments, such as marginal or segmental resection, have traditionally been implemented, but some conservative surgical methods are also being introduced, including decompression, enucleation, or curettage. The aim of the present study was to evaluate the possibility of applying these conservative surgical treatments to ameloblastoma and to analyze the prognosis of the procedures and their healing aspects. Among all patients who visited our clinic (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong) from 2009 to 2017, three who had undergone conservative surgery were recruited. One of these three patients underwent both excision of the lesion and an iliac bone graft during the same procedure. In the other two patients, due to the size of the lesion, decompression was performed to reduce the size of the lesion, and then conservative surgical treatments followed. As shown in the cases of this study, patients were only treated with conservative surgical methods, such as decompression or enucleation. During the follow-up period, there were no recurrences. In conclusion, the use of conservative surgical treatment in ameloblastoma can be a reliable, safe, and successful method.
Keywords: Ameloblastoma, Enucleation, Decompression, Conservative treatment


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31 October 2018
Vol. 44
No. 5 pp. 205~247

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