Treatment of ameloblastoma of the jaws.
OBJECTIVE
To evaluate treatment of ameloblastoma of the jaws and suggest a more aggressive approach for well-defined cases.


METHODS
Referral center.


METHODS
Forty-one patients were treated for ameloblastoma of the jaws.


RESULTS
Seventeen patients had a local recurrence; 14 had initial curettage and three had initial resection. Seven patients had two or more recurrences. Eight patients underwent radiotherapy; two died of progressive disease.


CONCLUSIONS
Ameloblastoma had a high rate of local recurrence if not adequately removed. Segmental resection for the mandible and partial maxillectomy for the maxilla should be the primary treatment; marginal resection is appropriate only for small primary tumors. For multiple recurrences, radiotherapy is effective, and surgery and radiotherapy (50 Gy postoperatively) should be used in selected cases.
Pinsolle
J
J
Department of Maxillofacial and Plastic Surgery, Centre Hospitalier Universitaire de Bordeaux, France.
Michelet
V
V
Coustal
B
B
Siberchicot
F
F
Michelet
F X
FX
D000293:Adolescent; D000328:Adult; D000368:Aged; D000564:Ameloblastoma / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D017024:Chemotherapy, Adjuvant; D002648:Child; D005260:Female; D006801:Humans; D007573:Jaw Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000628:therapy; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D016896:Treatment Outcome