[Endoscopic removal of a mandibular ameloblastic fibro-odontoma].
BACKGROUND
Ameloblastic fibro-odontoma is a rare mixed odontogenic tumor. It occurs predominantly in children and young adults. This article reports a case of ameloblastic fibro-odontoma affecting a young boy who was treated by endoscopy.


METHODS
An 11-month-old child was admitted for a right mandibular rapidly growing mass. Computed tomography confirmed the presence of a large radiopaque mass on the right mandible containing compartmented tooth-germs. A biopsy exeresis was performed to completely remove the tumor with an endonasal endoscope. The histological diagnosis was an ameloblastic fibro-odontoma.


CONCLUSIONS
We performed the enucleation with a nasal endoscope to make sure that the entire lesion had been removed. Bone resection was minimal which should decrease the risk of growth disorders. The ameloblastic fibro-odontoma is a rare mixed odontogenic tumor usually asymptomatic and slow growing. Histopathology proves the diagnosis. The treatment is curettage, preserving the adjacent teeth.
Franco
A
A
Service de stomatologie et de chirurgie maxillo-faciale, CHU d'Angers, 4, rue Larrey, 49100 Angers, France. aurelie_franco@hotmail.fr
Riscala
S
S
Kahoudji
M
M
Croue
A
A
D001706:Biopsy; D003475:Curettage; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D008339:Mandibular Neoplasms / Q000601:surgery*; D009810:Odontoma / Q000601:surgery*; D014057:Tomography, X-Ray Computed