Surgical Mini-Lectures and Clinics
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Thursday, September 30, 2010
7:00AM - 9:00AM
S215
Surgical Management of Odontogenic Tumors
Handouts Not
Currently Available
Eric R. Carlson, DMD, MD
Professor and Chairman, Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center
Knoxville, TN
J. Michael McCoy, DDS
Professor, Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center
Knoxville, TN
Synopsis
Odontogenic tumors exhibit a spectrum of biologic behaviors from slow-growing benign neoplasms that are capable of significant deformation of the patient to rapidly growing malignancies capable of death of the patient. While the international literature might suggest that these tumors as a whole are rare, the oral and maxillofacial surgeon is likely to encounter them with enough frequency to warrant a thorough understanding of their treatment. It is the intention of this presentation to review the clinical and radiographic presentation and surgical management of odontogenic tumors with objective information supporting curative treatment of these tumors.
Learning Objectives
At the conclusion of this presentation, participants should be able to:
- Recognition of the aggressive behavior of the ameloblastoma, Pindborg tumor, and odontogenic myxoma, with the resultant need to manage these tumors with aggressive surgery. Recognition of the relatively indolent behavior of the ameloblastic fibroma, ameloblastic fibro-odontoma, and adenomatoid odontogenic tumor where conservative enucleation and curettage represents curative therapy;
- Understanding that while the ameloblastoma is radiosensitive, an appropriate protocol involving radiation therapy includes it in the adjuvant setting, rather than the neoadjuvant setting; and
- Understanding that the use of intraoperative specimen radiographs and accurate processing of the tumor specimen indicates that a 1 cm bony linear margin represents curative therapy for this neoplasm.