PMC9937930_01
Panoramic radiograph of patient before marsupialization, showing a well-defined radiolucent area (a) coronal computed tomography (b) and sagittal tomography (c) showing weakened mandible and buccal and lingual expansions before treatment.
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F1
Panoramic view of the patient revealed a well-defined radiolucent area extending from right molar region to the left molar region of mandible with root resorbtions [Figure 1a]. Computed tomography showed both buccal and lingual expansions and root resorbtions [Figure 1b and c]. The lesion has appeared similar during the follow-up period [Figures 1 and 3].
Reverse polarization in basal layer and neoplastic epithelium overlayed with squamous epithelium indicate unicystic ameloblastoma.
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F2
Reverse polarization in basal layer and neoplastic epithelium overlayed with squamous epithelium without intraluminal or extraluminal infiltration indicates luminal type UA [Figure 2].
Panoramic view following 10 months' marsupialization (a) 24 months after marsupialization (b) after enucleation (c) no recurrence in 16 months after enucleation (d).
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F3
The lesion gave a good response and shrinked with marsupialization [Figure 3]. The lesion has appeared similar during the follow-up period [Figures 1 and 3].
After marsupialization for removal of diminished lesion an incision was made along the marsupialization hole (a and b) lesion was enucleated and peripheral osteotomy was performed (c)
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F4
Lesion wall was thickened following 2 years' decompression comparing with thin wall at the beginning [Figure 4].