# Management of Mandibular Ameloblastoma: A Case Report From a Bahrain Government Hospital

## TL;DR

A 32-year-old man with a rare jaw tumor was successfully treated with surgery and reconstruction, avoiding more complex procedures.

## Contribution

The case demonstrates an alternative surgical approach for managing ameloblastoma that avoids microvascular grafts.

## Key findings

- Wide en bloc excision with reconstruction plate was effective for managing intraosseous ameloblastoma.
- The patient showed no recurrence after one year of follow-up.
- This approach reduces donor-site complications while maintaining safety.

## Abstract

Ameloblastoma is a locally aggressive yet benign odontogenic neoplasm. Its three main clinical variants - intraosseous, unicystic, and extraosseous - differ vastly in their biological behavior and recurrence rate. Here we present a case of intraosseous ameloblastoma in a 32-year-old male managed by wide en bloc excision. The mandible was reinforced with reconstruction plate to prevent pathological fracture, as the residual bone height was less than 1 cm. The patient has been on regular follow-up for one year with no clinical or radiological evidence of disease. This case demonstrates that marginal mandibulectomy with reconstruction plate reinforcement can obviate the need for microvascular free fibula graft reconstruction in select cases, reducing donor-site morbidity while maintaining oncologic safety.