# Extensive Multicystic Ameloblastoma of the Mandible Managed by Hemimandibulectomy and Immediate Reconstruction: A Case Report

**Authors:** Andrianos Tzortzis, Ourania Tzortzi, Konstantinos Stivaktakis, George Tzortzis

PMC · DOI: 10.7759/cureus.92468 · Cureus · 2025-09-16

## TL;DR

A 53-year-old man with a large ameloblastoma in his jaw underwent surgery and immediate reconstruction, leading to successful recovery.

## Contribution

This case report presents a successful one-stage treatment for extensive ameloblastoma using hemimandibulectomy and reconstruction.

## Key findings

- A one-stage treatment involving hemimandibulectomy and reconstruction plate placement was effective.
- The patient remained asymptomatic and showed good functional and aesthetic recovery after 24 months.

## Abstract

Ameloblastoma is one of the most common odontogenic tumors. It usually has slow growth and presents as an asymptomatic swelling. The diagnosis depends on imaging and histological examination, and the current management consists of surgical excision with restoration of the functionality and the aesthetics of the area. In this paper, we present the management of a 53-year-old man with an extensive ameloblastoma of the mandible, which measured 15.5x8.2x9.6 cm. The patient underwent hemi-mandibulectomy, followed by placement of a reconstruction plate. This one-stage treatment established early functioning and aesthetic recovery for the patient. The patient was followed up and has remained asymptomatic for 24 months after the operation.

## Linked entities

- **Diseases:** ameloblastoma (MONDO:0017795)

## Full-text entities

- **Diseases:** odontogenic tumors (MESH:D009808), Ameloblastoma (MESH:D000564), swelling (MESH:D004487)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC12530665/full.md

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Source: https://tomesphere.com/paper/PMC12530665