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- W2548579417 abstract "Le fibro-odontome améloblastique (FOA) est une tumeur bénigne rare représentant 1 à 3 % des tumeurs odontogènes. Le FOA touche le patient jeune, avant 20 ans. L’exérèse chirurgicale permet habituellement la guérison. Les récidives et les transformations malignes sont possibles. Une patiente de 3 ans, sans antécédent médico-chirurgical, a été adressée pour une tuméfaction jugale droite indolore déformante évoluant depuis plusieurs mois. Les examens radiographiques montraient une volumineuse lésion mixte. Les corticales vestibulaires et linguales étaient soufflées. L’exérèse chirurgicale a été réalisée sous anesthésie générale. Microscopiquement, la lésion était constituée d’un tissu dentaire comportant de la dentine et de l’émail matures et une composante épithéliale. Ces éléments ont permis de poser le diagnostic de fibro-odontome améloblastique. Les suites opératoires ont été simples. La prise en charge chez cette patiente de 3 ans a été tardive du fait d’un retard de consultation. La taille de la lésion, englobant toutes les structures dentaires du secteur 4, était importante compte tenu du très jeune âge de la patiente. Le traitement chirurgical conservateur en première intention a permis de conserver les dents et le nerf alvéolaire inférieur, la seule séquelle étant le sacrifice du germe de la dent no 4 directement en rapport avec la tumeur. The ameloblastic fibro-odontoma (FOA) is a rare benign tumor representing 1–3% of odontogenic tumors. The FOA affects young patients before the age of 20. Surgical treatment allows usually for recovery. Recurrence and malignant transformation are possible. A 3-year-old patient, with no medical and surgical history, was referred for a painless swelling of the right cheek progressing for several months. Radiographic examination showed a large mixed lesion. Buccal and lingual cortices were blown out. Surgical resection was performed under general anesthesia. Microscopically, the lesion consisted of dental tissue composed of mature dentin and enamel and of an epithelial component. These elements allowed for the diagnosis of ameloblastic fibro-odontoma. The postoperative course was uneventful. The management of this 3-year-old patient was delayed due to late consultation. The size of the lesion, that included all dental structures of sector 4, was big considering the very young age of the patient. The primary conservative surgical treatment allowed for preservation of teeth and of the inferior alveolar nerve, the only sequelae being the removal of the germ of the tooth no 44 directly involved in the tumor." @default.
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- W2548579417 date "2016-12-01" @default.
- W2548579417 modified "2023-09-24" @default.
- W2548579417 title "Fibro-odontome améloblastique mandibulaire chez une patiente de 3 ans" @default.
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- W2548579417 doi "https://doi.org/10.1016/j.revsto.2016.10.003" @default.
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