436 - Multidisciplinary Approach to Treatment of Ameloblastoma in a Pediatric Patient

Introduction: Ameloblastomas are benign odontogenic tumors composed of epithelia of ectodermal origin. They are slow growing but can demonstrate locally aggressive behavior. Approximately 80% of ameloblastomas occur in the mandible and 20% in the maxilla. While ameloblastomas are the second most common benign odontogenic tumor, they are rare and uncommon in patients under nineteen years old. Treatment involves surgical removal and reconstruction as needed in the case of resection with treatment being further complicated in the developing pediatric patient.

Case Report: A healthy ten year old African American female presented with significant right-sided facial swelling and was evaluated by ENT and Dental. Biopsy confirmed lesion to be ameloblastoma. Given the extent of the lesion, hemimandibular resection of the right side was completed with reconstruction using the left fibula. Patient underwent orthodontic treatment with elastics pre and post resection to stabilize occlusion. This case study details clinical findings and treatment rendered.