Airway Management: A Case of Desmoplastic Ameloblastoma of Right Mandibular Body
Deepjit Bhuyan *
Jawaharlal Nehru Medical College, DMIMS (DU), Sawangi (Meghe), Wardha, Maharashtra- 442001, India.
Aruna V. Chandak
Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (DMIMS), India.
Vijay Chandak
Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (DMIMS), India.
Sanjot Ninave
Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (DMIMS), India.
Neeta Verma
Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science (DMIMS), India.
*Author to whom correspondence should be addressed.
Abstract
Background- Desmoplastic ameloblastoma (DA) is an uncommon variety of ameloblastoma that accounts for 4–13% of all cases, with notable differences in anatomical location, imaging, and histologic appearance. It is classified as a variety of ameloblastoma in the WHO classification of head and neck tumours (WHO-2005). Because it commonly occurs in the anterior region of the jaws as a mixed radio-opaque-radiolucent lesion, the tumour resembles a benign fibro-osseous lesion.
Case report- We present a case of desmoplastic ameloblastoma in a 51-year-old female with a painless swelling in the lower right region of mandible. Fine needle aspiration revealed no fluid. Both panoramic radiographs and a computed tomography scan revealed a mixed lesion with a multilocular appearance. Desmoplastic ameloblastoma was confirmed after an incisional biopsy. From teeth 41 to the angle of the jaw, a composite resection of the lesion was performed with segmental mandibulectomy. With a peek implant, it was repaired. The possibility for a problematic airway is emphasised in this case, with great surgical results.
Conclusion: Desmoplastic ameloblastoma is a kind of ameloblastoma with unique clinic radiographic and histologic characteristics. Despite its rarity, the tumour necessitates a thorough examination due to the challenges it poses with airway ventilation and intubation.
Keywords: Desmoplastic ameloblastoma, difficult intubation, airway, mandibulectomy, tumour