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  Vol. 121 No. 9, September 1995 TABLE OF CONTENTS
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Treatment of Ameloblastoma of the Jaws

Jacques Pinsolle, MD; Vincent Michelet, MD; Benoît Coustal, MD; François Siberchicot, MD; François-Xavier Michelet, MD

Arch Otolaryngol Head Neck Surg. 1995;121(9):994-996.


Abstract

Objective
To evaluate treatment of ameloblastoma of the jaws and suggest a more aggressive approach for well-defined cases.

Setting
Referral center.

Patients
Forty-one patients were treated for ameloblastoma of the jaws.

Results
Seventeen patients had a local recurrence; 14 had initial curettage and three had initial resection. Seven patients had two or more recurrences. Eight patients underwent radiotherapy; two died of progressive disease.

Conclusions
Ameloblastoma has a high rate of local recurrence if not adequately removed. Segmental resection for the mandible and partial maxillectomy for the maxilla should be the primary treatment; marginal resection is appropriate only for small primary tumors. For multiple recurrences, radiotherapy is effective, and surgery and radiotherapy (50 Gy postoperatively) should be used in selected cases.

(Arch Otolaryngol Head Neck Surg. 1995;121:994-996)



Author Affiliations

From the Department of Maxillofacial and Plastic Surgery, Centre Hospitalier Universitaire de Bordeaux (France).



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