Title: A Case of Recurrent Ameloblastoma with histopathological diversity in the infratemporal fossa region

Authors: Narendra Babu BK, Sudip Indu, Sudharshan Bhat, Aditi Rawat

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.115

Abstract

A 52yrs/f was referred to our centre, with complaints of a progressively enlarging nontender swelling in the left side upper jaw, past six months. Medical history revealed history of three surgeries, the last surgery performed was hemimandibulectomy left side in 1999.  Intraoral examination revealed solitary oval shaped swelling measuring approx 2 x 1.5 cms near the maxillary tuberosity region. The swelling was firm and non tender on palpation. The non contrast computed tomography (NCCT) revealed a multilocular radiolucent lesion extending in to the infratemporal fossa. Incisional biopsy examination was suggestive of acanthomatous and granular variety of Ameloblastoma. Modified Alkayat Bramley approach was used and an access osteotomy of zygomatic arch was done, the mass was removed in total under general anaesthesia. Post operative recovery was uneventful with a satisfactory functional and aesthetic outcome.

Keywords: Ameloblastoma, Acanthomatous, Follicular, Granular, Maxillary tuberosity, Recurrence, Infra temporal fossa, Access Osteotomy, Zygomatic arch.

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