Document Detail


Ameloblastoma: clinical features and management of 21 cases.
MedLine Citation:
PMID:  11125499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective study of 21 patients with ameloblastoma, operated in Tikur Anbessa Hospital between September 1990 to August 1997, is reported. There were 14 male and 7 female patients. The mean age at diagnosis was 26 years. There were three paediatric patients aged 6,9 and 12 years. The average duration of illness was 4 years with a wide range of 3 months to 12 years. Complete medical record was recovered for 9 patients. Clinical features were pain on chewing in 7 out of 9 (78%) and mandibular swelling in 5 out of 9 (56%) of which there was ulceration with bloody and/or purulent discharge. Diagnosis was made by clinical presentation, x-ray of the mandible and fine needle aspiration cytology. Two patients had malignant ameloblastoma as confirmed by excisional biopsy. All patients were managed surgically. Of nine patients whose clinical records could be retrieved, five had hemimandibulectomy, two had segmental resection and two had local resection and curettage. Recurrences were seen in two patients. Post-operative stay was complicated by infection and salivary fistula in 55%; these patients were discharged after 29.6 days as compared to 14 days in those that were not complicated. One patient with malignant tumor needed tracheostomy and intensive care for one week. There were no deaths. Ameloblastoma is predominantly a benign disabling but curable disease. Radical excision is recommended to avoid recurrence.
Authors:
C G Christos; M C Yoo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ethiopian medical journal     Volume:  38     ISSN:  0014-1755     ISO Abbreviation:  Ethiop. Med. J.     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-12-26     Completed Date:  2001-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373223     Medline TA:  Ethiop Med J     Country:  Ethiopia    
Other Details:
Languages:  eng     Pagination:  247-51     Citation Subset:  IM    
Affiliation:
Department of Surgery, Faculty of Medicine, Addis Ababa University, P.O.Box 9086, Addis Ababa.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Ameloblastoma / complications,  diagnosis*,  surgery*
Biopsy, Needle
Child
Child, Preschool
Curettage
Edema / etiology
Female
Hemorrhage / complications
Humans
Jaw Neoplasms / complications,  diagnosis*,  surgery*
Length of Stay / statistics & numerical data
Male
Neoplasm Recurrence, Local / etiology
Pain / etiology
Retrospective Studies
Surgical Wound Infection / etiology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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