[Retrospective analysis of 30 cases of mandibular ameloblastoma operated in the Ivory coast from 1992 to 2000].
OBJECTIVE
We analyzed a retrospective series of 30 cases of ameloblastoma operated in the Ivory coast from 1992 to 2000.


METHODS
The following techniques were used--temporary reconstructions via the endobuccal approach using a Peri prothesis in 27 cases and a resin coated Peri prosthesis in one;-- definitive reconstructions using iliac bone grafts in 3 cases and rib grafts in 14. These reconstructions were performed in a second operation via a cutaneous approach to replace the Peri prosthesis. Thirteen patients were lost to follow-up for this second phase. Mean follow-up ranged from 6 months to 13 months (mean 9.9 months).


RESULTS
Satisfactory outcome was acchevied when mouth opening was greater than 10 mm and patients with an acceptable cosmetic result no longer complained of mastication or phonation problems. There were four postoperative infections after bone graft reconstruction (two of them were immediate reconstruction). The resin coated Peri prosthesis led to a skin ulceration.


CONCLUSIONS
This study demonstrated the interest of mandibular reconstruction in undermedicalized countries where indications are dominated by reconstruction after resection for ameloblastoma. The large number of patients lost to follow-up before the second stage bone grafts points out the need for immediate reconstruction using autologous bone. Further study in a larger series would be needed to determine the cause of failure after immediate reconstruction.
Crezoit
G E
GE
Service de Stomatologie Chirurgie Maxillo-Faciale, C.H.U. de Bouaké, BP 1174, Bouaké, 01, Côte d'Ivoire.
Gadegbeku
S
S
Ouattara
B
B
Bile
J L A
JL
D000293:Adolescent; D000328:Adult; D000564:Ameloblastoma / Q000601:surgery*; D016025:Bone Transplantation; D007560:Cote d'Ivoire; D003906:Developing Countries; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008339:Mandibular Neoplasms / Q000601:surgery*; D008341:Mandibular Prosthesis / Q000009:adverse effects; D008409:Mastication / Q000502:physiology; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D012883:Skin Ulcer / Q000209:etiology; D013060:Speech / Q000502:physiology; D013530:Surgical Wound Infection / Q000209:etiology; D016896:Treatment Outcome