Symposia the ameloblastoma. It has received due attention in our specialty’s literature in adult patients as well as in children. Differences between pediatric and adult ameloblastomas include a higher percentage of the unicystic variant diagnosed in children. Observed similarities between these tumors in children and adults include the need to provide resection for the solid or multicystic ameloblastoma variant so as to provide surgical cure. Other epithelial odontogenic tumors and ectomesenchymal tumors, including the Pindborg tumor and the odontogenic myxoma, respectively, show a wide age range of incidence, with a mean age of approximately 30 years. Nonetheless, cases have been diagnosed in the first and second decades of life such that these tumors should be considered in differential diagnoses of jaw lesions in children. Perhaps the subclassification of odontogenic tumors most applicable to the pediatric population is the mixed odontogenic tumors, including the ameloblastic fibroma, ameloblastic fibro-odontoma, and the odontoma. There has been considerable debate as to the interrelationship of these three entities. In fact, the continuum concept has been suggested indicating that this interrelationship begins developmentally with the ameloblastic fibroma and ends with the odontoma, with the ameloblastic fibro-odontoma as an intermediate stage in this continuum. This concept is not widely accepted, however, due to the ameloblastic fibroma being observed at a variety of ages. References Gorlin RJ: Nevoid Basal Cell Carcinoma Syndrome. Medicine 66: 98-113, 1987.
Ord RA, Blanchaert RH, Nikitakis NG and Sack JJ: Ameloblastoma in children. J Oral Maxillofac Surg 60: 762-770, 2002. Reichart PA, Philipsen HP (eds): Odontogenic Tumors and Allied Lesions. London, Quintessence Publishing Co. Ltd., 117-120, 2004.
Role of Interventional Radiology in AVMS John Pile-Spellman, MD, New York, NY No abstract provided.
Microvasular Reconstruction in the Growing Patient Rui Fernandes, DMD, MD, Jacksonville, FL The reconstruction of pediatric patients with large facial defects presents a formidable challenge to the reconstructive surgeon. Thankfully, these defects are seldom encountered. This lecture will review the role of microvascular techniques in the reconstruction of pediatric head and neck defects. The effects on facial growth as well as donor site morbidities will be reviewed based on the current literature. References Genden E, et al. Reconstruction of pediatric maxilla and mandible. Arch Otolaryngol Head Neck Surg 2000;126:293-300 Van Landuyt K, et al. Free perforator flaps in children. Plast Reconstruc Surg 2005;116:159 Yucel A, et al. Elective free tissue transfer in children. J Reconst Microsurg 2001
SYMPOSIUM ON LESIONS, DEFECTS, AND LOCAL FLAPS Wednesday, October 10, 2007, 7:00 am–9:00 am
Part I: Oral Soft Tissue Defects: PVL, Dysplasisa and Soft Tissue Cancers: Diagnosis and Treatment
site with options reviewed and clinical cases presented in order to demonstrate management principles in both straightforward and complex clinical scenarios.
Brent B. Ward, DDS, MD, Ann Arbor, MI References
Oral dysplasia, proliferative verrucous leukoplakia (PVL), and soft tissue cancers present challenging clinical scenarios to the oral and maxillofacial surgeon. Management of these pathological entities requires knowledge of their biological behavior combined with an ability to offer appropriate surgical treatement when indicated. This presentation will review basic priciples of understanding necessary for decision making in the diagnosis and treatment of these disease processes. Treatment discussion will focus on management at the primary
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Surgical Management of Oral and Mucosal Dysplasias: The Case for Surgical Excision Kademani D, Dierks E Journal of Oral and Maxillofacial Surgery February 2007 (Vol. 65, Issue 2, Pages 287-292) Proliferative verrucous leukoplakia: Report of a case with characteristic long-term progression Vigliante CE, Quinn PD, Alawi F Journal of Oral and Maxillofacial Surgery May 2003 (Vol. 61, Issue 5, Pages 626-631) Management of oral squamous cell carcinoma treated with inadequate excisional biopsy Bailey JS, Blanchaert RH, Ord RA Journal of Oral and Maxillofacial Surgery September 2001 (Vol. 59, Issue 9, Pages 1007-1010)
AAOMS • 2007