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 28-year-old male patient reported to the department with the chief complaint of pain in the left lower jaw region for the last three months. Extraoral examination revealed a diffuse hard swelling measuring approximately 3 cm × 2 cm. On intraoral palpation there was expansion of buccal and lingual cortical plates. Decompression and packing with BIPP paste were done to prevent pathological fracture. After 6 months enucleation with curettage was done. Incisional biopsy revealed unicystic mural ameloblastoma. The patient was operated on under LA. A regular follow-up is being done. There is no sign of recurrence.