Case report of a massive giant ameloblastoma and its management

Authors

  • Nithya Manayath Bangalore Baptist Hospital, Bangalore, Karnataka, India
  • Gayathri Priyabindu Vardhani Vanguri Bangalore Baptist Hospital, Bangalore, Karnataka, India
  • Rajendra Suresh Gujjalanavar Sakra World Hospital, Bangalore, Karnataka, India
  • Adarsh Manjunath Bangalore Baptist Hospital, Bangalore, Karnataka, India
  • Balachandra Bhat Bangalore Baptist Hospital, Bangalore, Karnataka, India
  • Pooja Rao G. St. John’s Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20223607

Keywords:

Giant Ameloblastoma, Largest reported, Wide resection, Single stage osteocutaneous reconstruction

Abstract

Ameloblastoma is a benign odontogenic tumor. It is slow growing, locally aggressive, rare tumor, accounting for 1% of all the jaw tumors. Here, we report a case of a Giant ameloblastoma in a 38-year-old gentleman who presented with a massive tumor of the mandible, possibly the largest reported in literature. The tumor had caused significant facial disfigurement and functional impairment leading to nutritional deficiency, anemia and dehydration induced elevated renal parameters. It was neglected by the patient for over ten years, due to the fear of surgery and financial constraints. Pre-operative evaluation included 3-Dimensional computerized tomographic imaging of the head and neck and optimization of deranged hematological & renal parameters and high blood pressure. Surgical treatment entailed complete tumor resection with adequate margins and microvascular reconstruction with fibular free flap in a single stage. This case of a giant multicystic ameloblastoma of the mandible, possibly the largest of its kind, was managed by complete surgical resection and a simultaneous single stage reconstruction with complete financial aid provided by our institution for the entire treatment. Finally, providing the patient, an acceptable functional, aesthetic, and oncological outcome.

Author Biographies

Nithya Manayath, Bangalore Baptist Hospital, Bangalore, Karnataka, India

Consultant Surgical Oncologist,

Bangalore Baptist Hospital,

Hebbal, Bangalore.

Gayathri Priyabindu Vardhani Vanguri, Bangalore Baptist Hospital, Bangalore, Karnataka, India

Consultant Plastic, reconstructive and Aesthetic surgeon,

Bangalore Baptist Hospital,

Hebbal, Bangalore.

Rajendra Suresh Gujjalanavar, Sakra World Hospital, Bangalore, Karnataka, India

Senior Consultant Plastic, reconstructive and Aesthetic surgeon,

Sakra World Hospital, Bangalore.

Adarsh Manjunath, Bangalore Baptist Hospital, Bangalore, Karnataka, India

Senior Resident, Department of General Surgery,

Bangalore Baptist Hospital,

Hebbal, Bangalore.

Balachandra Bhat, Bangalore Baptist Hospital, Bangalore, Karnataka, India

Consultant Pathologist,

Bangalore Baptist Hospital,

Hebbal, Bangalore.

Pooja Rao G., St. John’s Medical College, Bangalore, Karnataka, India

Senior Resident, Department of Anesthesiology,

St. John's Medical College and Hospital, Bangalore, India

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Published

2022-12-30

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Section

Case Reports