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Ameloblastomas are benign asymptomatic intraosseous lesions that affect the bones of the maxillomandibular complex, interfering both in function and facial esthetic appearance. Unicystic ameloblastoma has become established as a distinct clinicopathological entity on the general basis of its unicystic radiographic appearance, histologic findings, association with an unerupted tooth, occurrence in the mandible of younger patients, and a recurrence rate after conservative surgical treatment lower than that of its conventional counterpart. Surgical management of ameloblastoma has been a controversial subject. Numerous excellent reviews have addressed this topic. The debate stems from confusion in the literature regarding histologic type of the tumor and from lack of standardization of definitions for "conservative" and "radical" surgical approaches. In this paper we emphasize the importance of enucleation with chemical cauterization followed by decompression as a surgical modality for the management of unicystic ameloblastoma in a pediatric patient.

Surgeon's Dilemma in the Management of Unicystic Ameloblastoma in A Pediatric Patient