Bimaxillary odonto-ameloblastic fibroma: A case report
-
Ayoub Bakhil
,
Nawfal El Hafdi
,
Yasmina Ribag
,
Hicham Sabani
,
Lahcen Khalfi
,
Jalal Hamama
,
Karim El Khatib
Abstract
Introduction: Ameloblastic fibroma is a rare mixed odontogenic tumor, affects the young population, its management is mainly surgical. We report in this work the first observation of a concomitant bimaxillary localization. Materials and Methods: This is a 31-year-old female patient with no pathological history who presented to our department for management of a maxillomandibular tumor. The clinical examination revealed a poor oral condition and a swelling of the alveolar ridges. The CT scan of the facial mass revealed a multilocular cystic lesion encompassing teeth in the maxillary and mandibular bone. The biopsy came back in favor of an odontoameloblastic fibroma. Management consisted of radical resection with reconstruction using local flaps. FOA is a tumor distinct from ameloblastoma, it affects the young patients without any predilection to gender. The radiological image is a mono or multilocular cystic image which poses a problem of differential diagnosis with other cystic tumors. The management is surgical, clinical and radiological postoperative surveillance is primordial given the risk of recurrence or sarcomatous transformation. Conclusion: The FOA was for a long time considered as a form of ameloblastoma, is a rare tumor in the mandibular localization is the most frequent, the bimaxillary localization has never been described and the case we presented is the first in literature. Keywords: Ameloblastic fibroma; Maxillomandibular; Radical surgery; Surveillance.
[1] A. Zehani, N. Kourda, A. Landolsi, A. Adouani, R. Zermani, and S. Ben Jilani, “´ loblastique de l ’
enfant Fibrome odonto-ame,” pp. 2010–2012, 2011.
[2] THOMKH, GOLDMAN HM. Odontogenic tumors: classification based on observations of the
epithelial, mesenchymal, and mixed varieties. Am J Pathol. 1946 May;22:433-71. PMID: 21028226.e.”
[3] J. M. Peron and H. Hardy, “Tumeurs odontogéniques mixtes,” Rev. Stomatol. Chir.
Maxillofac., vol. 110, no. 4, pp. 217–220, Sep. 2009, doi: 10.1016/J.STOMAX.2009.06.005.
[4] K. Sano et al., “Assessment of growth potential by MIB-1 immunohistochemistry in
ameloblastic fibroma and related lesions of the jaws compared with ameloblastic fibrosarcoma,” J.
Oral Pathol. Med., vol. 27, no. 2, pp. 59–63, Feb. 1998, doi: 10.1111/J.1600-0714.1998.TB02094.X.
[5] H. A. R. Pontes et al., “Report of four cases of Ameloblastic fibro-odontoma in mandible and
discussion of the literature about the treatment,” J. Cranio-Maxillofacial Surg., vol. 40, no. 2, pp. e59–
e63, 2012, doi: 10.1016/j.jcms.2011.03.020.
[6] K. J. Zouhary, N. Said-Al-Naief, and P. D. Waite, “Ameloblastic fibro-odontoma: expansile
mixed radiolucent lesion in the posterior maxilla: a case report.,” Oral Surg. Oral Med. Oral Pathol.
Oral Radiol. Endod., vol. 106, no. 4, pp. e15-21, Oct. 2008, doi: 10.1016/j.tripleo.2008.05.038.
[7] R. E. Friedrich, J. Siegert, K. Donath, and K. T. Jäkel, “Recurrent ameloblastic fibro-odontoma
in a 10-year-old boy.,” J. oral Maxillofac. Surg. Off. J. Am. Assoc. Oral Maxillofac. Surg., vol. 59, no.
11, pp. 1362–1366, Nov. 2001, doi: 10.1053/joms.2001.27537
enfant Fibrome odonto-ame,” pp. 2010–2012, 2011.
[2] THOMKH, GOLDMAN HM. Odontogenic tumors: classification based on observations of the
epithelial, mesenchymal, and mixed varieties. Am J Pathol. 1946 May;22:433-71. PMID: 21028226.e.”
[3] J. M. Peron and H. Hardy, “Tumeurs odontogéniques mixtes,” Rev. Stomatol. Chir.
Maxillofac., vol. 110, no. 4, pp. 217–220, Sep. 2009, doi: 10.1016/J.STOMAX.2009.06.005.
[4] K. Sano et al., “Assessment of growth potential by MIB-1 immunohistochemistry in
ameloblastic fibroma and related lesions of the jaws compared with ameloblastic fibrosarcoma,” J.
Oral Pathol. Med., vol. 27, no. 2, pp. 59–63, Feb. 1998, doi: 10.1111/J.1600-0714.1998.TB02094.X.
[5] H. A. R. Pontes et al., “Report of four cases of Ameloblastic fibro-odontoma in mandible and
discussion of the literature about the treatment,” J. Cranio-Maxillofacial Surg., vol. 40, no. 2, pp. e59–
e63, 2012, doi: 10.1016/j.jcms.2011.03.020.
[6] K. J. Zouhary, N. Said-Al-Naief, and P. D. Waite, “Ameloblastic fibro-odontoma: expansile
mixed radiolucent lesion in the posterior maxilla: a case report.,” Oral Surg. Oral Med. Oral Pathol.
Oral Radiol. Endod., vol. 106, no. 4, pp. e15-21, Oct. 2008, doi: 10.1016/j.tripleo.2008.05.038.
[7] R. E. Friedrich, J. Siegert, K. Donath, and K. T. Jäkel, “Recurrent ameloblastic fibro-odontoma
in a 10-year-old boy.,” J. oral Maxillofac. Surg. Off. J. Am. Assoc. Oral Maxillofac. Surg., vol. 59, no.
11, pp. 1362–1366, Nov. 2001, doi: 10.1053/joms.2001.27537
| Files | ||
| Issue | Vol 9, No 3 (Summer 2022) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jcr.v9i3.12701 | |
| Keywords | ||
| Ameloblastic fibroma; Maxillomandibular; Radical surgery; Surveillance. | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Bakhil A, El Hafdi N, Ribag Y, Sabani H, Khalfi L, Hamama J, El Khatib K. Bimaxillary odonto-ameloblastic fibroma: A case report. J Craniomaxillofac Res. 2023;9(3):153-157.
