Gadjahmada University - Indonesia
EMBOLIZATION IN RECURRENT SOFT TISSUE AMELOBLASTOMA EXCISION OF THE MANDIBLE
agus widodo
Masykur Rahmat
Departemen Bedah Mulut dan Maksilofasial Universitas Gadjah Mada - Indonesia
Departemen Bedah Mulut dan Maksilofasial
Rahardjo Rahardjo
Departemen Bedah Mulut dan Maksilofasial Universitas Gadjah Mada - Indonesia
Departemen Bedah Mulut dan Maksilofasial
Poerwati Soetji
Departemen Bedah Mulut dan Maksilofasial Universitas Gadjah Mad - Indonesia
Departemen Bedah Mulut dan Maksilofasial
(*) Corresponding Author
ABSTRACT
Background: Recurrent ameloblastoma can occur after radical treatment, 13.3% up to 19% involves soft tissue. Case of recurrent mandibular ameloblastoma in soft tissue, bleeding is one of the risks that often occurs. One way to reduce intraoperative bleeding is by embolization. Purpose this studi to report the benefits of embolization to reduce intraoperative bleeding in the action of recurrent ameloblastoma in soft tissue.
Method: Female patient 32 years old came to RSUP Dr. Sardjito with complaint of lump on her left cheek, with history of post-hemimandibulectomy ameloblastoma 14 years ago. Objective examination of the asymmetrical patient's face with swelling extends to the cheek and pain when pressed, and the size is around 10x10 cm. Embolization using PVA and gelfoam material done before the excision of the tumor to reduce the risk of bleeding. The excision in this case is using lip split method, with bleeding during surgery around 250 ml. Biopsy results after excision are multicystic ameloblastoma, some are follicular types and some are plexiform types
Conclusion: The use of embolization in the case of recurrent mandibular ameloblastoma in soft tissue can reduce tumor size and reduce bleeding during surgery.
Keywords: Embolization; Recurrent mandibular ameloblastoma; Excision
- Anderson, L., Kahnberg, K.E., Pogrel, A., Oral and Maxillofacial Surgery, 2012, Wiley.1109-1125.
- Mc Clary, A.C., West, R.B., Pollack, J.R., Fisbein, N.J., Sunwool, J., Colevas, A.D., Sirjani, D., Ameloblastoma: a clinical review and trends in management, Eur Arch Otorhinolaryngol, 2015, DOI 10.1007/s00405-015-3631-8.
- Neville, B.W., Damn, D.D., Allen, C.M., Bouqout, Oral and Maxillofacial Pathology 2nd ed., 2002, Philadelphia. WB Saunders Co. p. 610-615.
- Olatian, A.A., Arole, G., Adekeye, E.O., Recurrent ameloblastoma of the jaws: A follow-up study, 1998, Int J Oral Maxillofac Surg;27:456-460.
- Arotiba, J.T., Ogunbiyi, J.O., Obiechina, A.E., Odontogenic tumours: a 15 year review from Ibadan Nigeria, 1997, Br J OralMaxillofac Surg ; 35: 363–7.
- Xavier, S.P., Faria, A.C., Mello, F., Silva, E.R., Santana, S.T., Recurrence of ameloblastoma in soft tissue, 2013, J Craniofac Surg;24:1866-7.
- Xianli, L.V., Zhongxue,W., Jiang, C., Li,Y., Yang, X., Zhang, Y., Zhang, N., Complication risk of endovascular embolization for cerebral arteriovenous malformation, 2010, Eur J Radiol;09;024.
- Blinkert, C.A., 2002, Embolization tools and techniques, Applied Radiology, 2002; p 55-64.
- Fregnani , E.R., Cruz P., Almeida O.P., Kowalski, L.P., Soares, F.A., Abreu, A.F., Clinicopathological study and treatment outcomes of 121 cases of ameloblastomas, 2010, Int J Oral Maxillofac Sur ; 39: 145-149.
- Mann, W.J., Jecker, P., Amedee, R.G., Juvenile angiofibromas: changing surgical concept over the last 20 years, 2004, Laryngoscope; 114: 291-3.
- Hertdog,D., Isaac, Ameloblastoma of the jaws: A critical reappraisal based on a 40-years single institution experience, 2009, Oral Oncology 46: 61–64.
- Danesi, G., Panciera, D.T., Harvey, R.J., Agostinis, C., Juvenile nasopharyngeal angiofibroma: evaluation and surgical management of advanced disease, 2008, Otolaryngol Head Neck Surg; 138:581–6.
- Gemmete, J.J., Chaudhary, N., Pandey, A., Gandhi, D., Sullivan, S.E., Marentette, L.J., Chepea, D.B,, Ansari, S.A., Usefulness of percutaneously injected ethylenevinyl alcohol copolymer in conjunction with standard endovascular embolization techniques for preoperative devascularization of hypervascular head and neck tumors: technique, initial experience, and correlation with surgical observations, 2008, AJNR Am J Neuroradiol; 31: 961–6.
