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하악에 발생한 법랑모세포종의 근치적 절제술 및 유리 장골을 이용한 즉시재건 후 임프란트 식립: 증례보고
Implant placement after radical resection and immediate reconstruction using free iliac bone graft of ameloblastoma in the mandible:Case report

대한치과이식학회지 2009년 28권 2호 p.52 ~ 59

박철휘, 정진환, 이슬기, 이효지, 송원욱, 김성원, 정유민, 김현민, 정종철,

소속 상세정보

박철휘 ( Park Chul-Hui ) - 가천의과학대학교 길병원 구강악안면외과
정진환 ( jung Jin-Hwan ) - 가천의과학대학교 길병원 구강악안면외과
이슬기 ( Lee Seul-Ki ) - 가천의과학대학교 길병원 구강악안면외과
이효지 ( Lee Hyo-Ji ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
송원욱 ( Song Won-Wook ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
김성원 ( Kim Sung-Won ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
정유민 ( Jeong You-Min ) - 고려대학교 구로병원 구강악안면외과
김현민 ( Kim Hyeon-Min ) - 가천의과학대학교 길병원 구강악안면외과
정종철 ( Jeong Jeong-Chul ) - 샘모아치과

KMID : 0362820090280020052

Abstract

Ameloblastoma is a rare histologic benign tumor which accounts for 1% of all oral tumors and for 9% to 11% of all odontogenic tumors, but locally aggressive tumor with a marked tendency for recurrence. Two therapy strategies are mentioned in literatures: a conservative way of treatment and radical procedures. Conservative surgical procedures like marsupialization, enucleation, and curettage, or just drilling of the perilesional bone are mentioned to be useful in unicystic ameloblastoma, especially in children and young patients. But, many recent reports have warned of high recurrence rates(75~90%) with conservative treatment, compared with recurrence rates of 15~20% after radical surgery. So other authors show high rates of recurrence of ameloblastoma after conservative treatment protocols and therefore recommend radical surgical treatment. However, mandibular resection can also lead to mastication, deglutition, phonation, and esthetic problem and require reconstruction of complex jaw defects. We experienced three patients who had mandibular ameloblastoma treated with radical resection and immediate reconstruction using iliac bone graft, and then implant-supported prosthesis. So, we report cases with a review of the literatures.