Ressecção de ameloblastoma extenso em maxila através de acesso degloving: relato de caso cliníco

Abstract

Ameloblastoma is a benign odontogenic tumor of epithelial origin of very importance and relatively common, representing 1% of all maxillary tumors, with a slow and locally invasive course, although with high recurrence rates. Its diagnosis requires clinical and complementary examinations with radiographs, tomography and histopathological exams, in order to establish the best treatment and prognosis. Once diagnosis has been confirmed, conservative treatments such as enucleation and marsupialization can be used. However, these techniques allow high rates of tumor recurrence. For this reason, many professionals opt for radical surgical procedures, both with total removal of the tumor, as well as removal of parts of surrounding tissue, which can culminate in significant functional and aesthetic facial defects. That is why the degloving technique stands out from the others for the good visibility of the surgical field, besides leaving no scars on the skin. Furthermore, new technologies allow reconstruction of the affected areas after extensive resections, resulting in good results for both, patients and professionals. Despite the treatment performed, conservative or radical, careful follow-up should be done. The purpose of this study was to report a case of surgical resection of a extensive maxillary ameloblastoma by means of degloving access technique.