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Case Report Plastic and Aesthetic Research

Reconstruction of palate with buccal fat

pad secondary to resection of desmoplastic

ameloblastoma

Bhimappa Mallappa Rudagi, Manjunatha Reddy Bandral, Reshma Hammannawar,
Pritish Harish Padgavankar

Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College, Dhule 424001, Maharastra, India.
Address for correspondence: Dr. Pritish Harish Padgavankar, Department of Oral and Maxillofacial Surgery, A.C.P.M. Dental College,
Sakri Road, Dhule 424001, Maharastra, India. E-mail: pritishharishchandra@gmail.com

ABSTRACT
Desmoplastic ameloblastoma (DA) is an unusual variant of ameloblastoma exhibiting important
differences in the anatomical distribution, radiographic features and histologic appearance compared
with the classic type of ameloblastoma. The purpose of this paper is to report a case of DA in the anterior
left maxilla and to describe a simple method of reconstruction with the use of buccal fat pad (BFP). BFP
is an excellent choice for reconstruction of small to medium sized defects. It should be manipulated
gently and hemostasis should be achieved meticulously during this surgery. It should not be sutured
under tension.
Key words:
Ameloblastoma, buccal fat pad, desmoplastic ameloblastoma, reconstruction, resection

INTRODUCTION “a variant of ameloblastoma with specific clinical, imaging
and histological features”. Follicular and plexiform are
[5]
Ameloblastoma is a rare, benign, slowly growing and the commonly encountered variants accounting for 32.5%
locally invasive neoplasm that accounts for about 1% of and 28.2% respectively, followed by the acanthomatous
all cysts and tumors of the jaws and 18% of the various subtype with 12.1% while desmoplastic is extremely
odontogenic neoplasms. In the recent histological uncommon with incidence rates ranging from 4‑13% in
[1]
classification of odontogenic tumors from the World various reports. [5]
Health Organization (WHO), ameloblastoma is defined as According to Shafer, the follicular type of ameloblastom
[6]
a benign, locally invasive epithelial odontogenic neoplasm had the highest rate of recurrence (29.5%), plexiform
of putative enamel organ origin. Various clinical subtype showed a 16.7% recurrence rate and acathomatous
[2]
types of ameloblastoma are solid‑multicystic, unicystic, type of ameloblastoma showed only 4.5% recurrence rate.
malignant and rare peripheral type. Histopathologically DA requires special attention as it exhibits important
classified as follicular, acanthomatous, granular, differences in the anatomical distribution, radiographic
[3]
basal, desmoplastic and plexiform ameloblastoma. and histomorphological compared with the classic type of
Desmoplastic ameloblastoma (DA) was first described ameloblastoma. [2]
in detail by Eversole et al. In 1984 and in recent WHO
[4]
classification of odontogenic tumors, it is defined as The purpose of this article is to present a case of DA in
the anterior left maxilla and to describe a simple method
Access this article online of reconstruction with the use of buccal fat pad (BFP).
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Website: CASE REPORT
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A 25‑year‑old male patient reported to the Department
DOI: of Oral and Maxillofacial Surgery, A.C.P.M. Dental College,
10.4103/2347-9264.153209 Dhule, Maharastra, India with the complaint of swelling in
the left anterior region of the upper jaw since 3 months.

Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015 91