A 25-year-old male patient reported to the department with the chief complaint of swelling in the lower left back tooth region for the last year. On extraoral examination we could palpate a swelling approximately of the size 6 cm × 3 cm extending from the commissure of lip to the posterior border of the mandible. On intraoral palpation there was expansion of buccal and lingual cortical plates and perforation of lingual cortical plates. Incisional biopsy was done. It revealed plexiform ameloblastoma. The patient was operated on under GA. Segmental resection with disarticulation of the left mandible was done followed by reconstruction with microvascular fibula free flap using reconstruction plate. A regular follow-up is being done. There is no sign of recurrence.
A 17-year-old female patient reported to the department two years back with the chief complaint of swelling in the right lower jaw region for the last four months. On extraoral examination a nontender swelling approximately of the size 4 cm × 2.5 cm was appreciated in the left mandibular region extending from lateral incisor to lower third molar region. There was expansion of buccal and lingual cortical plates. Incisional biopsy revealed unicystic mural ameloblastoma.\nThe patient was operated on under GA. Lesion was completely enucleated. Impacted teeth (33, 34, 35, and 36) were extracted. Peripheral osteotomy was done. Primary closure was achieved. A regular follow-up is being done. There is no sign of recurrence.