Open AccessGranular cell ameloblastoma in maxilla: update of unusual clinical, radiographic and histological appearance
Author(s) -
Bruno Coelho Mendes,
João Paulo Bonardi,
Leonardo de Freitas Silva,
Marcelo Macedo Crivelini,
Ana Paula Farnezi Bassi
Publication year - 2020
Publication title -
research, society and development
Language(s) - English
Resource type - Journals
ISSN - 2525-3409
DOI - 10.33448/rsd-v9i7.5194
Subject(s) - medicine , maxilla , enucleation , curettage , lesion , radiography , surgery , ameloblastoma , dentistry
Objective: to describe the successful treatment of a 5mm-sized granular cell ameloblastoma in the posterior region of the maxilla, discovered in a routine examination during the evaluation of an oroantral communication. Patients and methods: the case repot is presented based on a simple literature review of the last 10 years with the descriptors (Ameloblastoma; Maxilla; Surgery; Oral Diagnosis; Neoplasms) in Pubmed. Treatment consisting of fistulectomy and closure of the oroantral communication with the buccal fat pad and vestibular flap was associated with enucleation and curettage of the adjacent lesion under local anesthesia. Results: a satisfactory evolution was observed in the 1 year postoperative, with a good healing aspect and no signs of oroantral complications or recurrence of the lesion. Conclusion: for minor lesions, more conservative treatment proposals such as enucleation represent a viable alternative and, in addition, the use of adjuvant techniques such as curettage can offer benefits when the differential diagnosis includes more aggressive lesions or with a higher rate of recurrence.