title: Hemimaxillectomy for desmoplastic ameloblastoma with immediate temporalis flap reconstruction.
abstract: Ameloblastoma is one of the most common odontogenic tumors encountered, occurring more frequently than all other tumors combined, if one excludes the keratocystic odontogenic tumor. These tumors can cause severe expansion of the cortical bones and gross anatomic deformities. They can affect the dentition, causing tooth mobility and displacement. Fortunately, morbidity can be minimized with recognition on routine radiographic examination. The tissue may be unilocular or multilocular and has been described as having a "soap-bubble" appearance. Nevertheless, its radiographic appearance is insufficient to make a definitive diagnosis, because other tumors have similar appearance. Although the anatomic distribution and progression of ameloblastoma remain fairly consistent, alternative manifestations follow an atypical clinical course. One such variant is the desmoplastic ameloblastoma. We present a case of maxillary desmoplastic ameloblastoma treated with hemimaxillectomy and immediate reconstruction with temporalis flap that was recurrence-free at 36 months.
authors.affiliation: Associate Professor, Oral and Maxillofacial Surgery, Western University College of Dental Medicine; Assistant Professor, Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA. Electronic address: jeff_a_elo@hotmail.com.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Elo
authors.affiliation: Boyne & Geistlich Research Fellow, Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.
authors.forename: Rahul
authors.initials: R
authors.lastname: Tandon
authors.affiliation: Chief Resident, Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.
authors.forename: Chad N
authors.initials: CN
authors.lastname: Allen
authors.affiliation: Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Murray
mesh_terms: D000564:Ameloblastoma / Q000473:pathology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008441:Maxillary Neoplasms / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D008953:Models, Anatomic; D018482:Muscle, Skeletal / Q000637:transplantation; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D011862:Radiography, Panoramic; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed