122 Journal of Cranio-Maxillofacial Surgery 34(2006) Suppl.

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lichen planus (11%) and 5 cases of verrucous hyperplasia (5%).
Follow-up averaged 24 months (range 173 months).
Results: Fifty-two patients were disease-free (54%), 15 patients
had small recurrences removed with subsequent laser surgeries,
leading to control (16%) and 29 patients had complete recurrences of the original lesion (30%). Recurrence appeared in 13
months (264 months). Eleven patients developed new dysplastic
lesions at distinct sites (11%) and in 8 patients occurred a
malignant transformation in the same or different site of the
original lesions (8%).
Conclusions: Treatment of the white lesions of the oral cavity
using a CO2 laser is an ideal alternative due to its effectiveness
and good post-operative regime. Post-operative pain, bleeding
and scar retractions are complications that may occur with this
therapy.
O.451 Central giant cell granuloma of the jaws.
A clinical study and review of the literature
G. Karakinaris, Kath. Triantallidou, G. Venetis, K. Siochos,
F. Iordanidis. Department of Oral and Maxillofacial Surgery,
Dentistry School, Aristotle University of Thessaloniki, Greece
Introduction and Objectives: This clinical review article intends
to analyse the outcome of management of a group of 19 patients
with CGCG, who were treated in our clinic.
Material and Methods: A total of 19 patients were diagnosed
with CGCG in the jaws and treated in our clinic. The femaleto-male ratio was 10:9. The age range was 760 years. The
location of the lesions was mandible (11), maxilla (5), maxilla
and maxillary sinus (2), and condyle of the mandible (1). All
the patients treated were with curettage of the lesions, except the
patient that the lesion located in the condyle, who were treated
with condylectomy.
Results: The follow-up range for our patients was 118 years.
Fifteen patients are free of the disease. For the patient with
condylectomy 3 years later the lesion relapsed with spread in the
infratemporal fossa. The patient is under medical therapy (for 1
year) with calcitonin.
Conclusions: CGCG is a localized osteolytic lesion of variably
aggressive nature that affects the jaws bones. The essential microscopic component of CGCG is the presence of multinucleated giant cells distributed within a collagenous stroma having a variable
cellularity. Curettage alone or combined with resection without
continuity loss of the interior cortex of the mandible, is suggested
as satisfactory method of treatment for mandibular lesions. For
lesions in the maxilla, where the maxillary cortical plates are thin
and frequently there is involvement of the maxillary sinus the
treatment composed of either partial maxillectomy or curettage.
O.452 Aneurysmal bone cysts of the jaws:
Clinicopathological features, differential
diagnosis and treatment analysis of 5 cases
K. Siochos, G. Venetis, Kath. Triantallidou, G. Karakinaris,
F. Iordanidis. Department of Oral and Maxillofacial Surgery,
Dentistry School, Aristotle University of Thessaloniki, Greece
Introduction and Objectives: This article evaluates the clinicopathological outcomes of ABCs of the jaws in a 5-patient group
who treated in our clinic, during a 14-year period.
Material and Methods: All the patients were female and the age
range was 735 years. The location of the ABCs was maxilla
and maxillary sinus (3, one of these cases developed within
ossifying broma) and mandible (2). All the patients treated
with complete surgical curettage of the lesions. The one case
that developed within ossifying broma concerned a 7-year old

Abstracts, EACFMS XVIII Congress

girl. After 3 attempts of surgical curettage of the lesion in our
clinic, the patient went to Germany where she was treated by
radical surgery (maxillectomy), while the defect in the maxilla
was closed with free vascularized bone graft, which unfortunately
failed. The patient returned in our clinic and the defect was closed
over again with autogenous iliac bone graft and osseointegrated
implants were placed. Today the patient is 21-year old and free
of the disease.
Results: During the follow-up period, which ranged from 1
to 14 years no recurrences have occurred. It is obvious that
ABCs presented with clinicopathological similarities of other
pathological bone lesions (central giant cell granuloma, broosseous lesions). So the diagnosis and differential diagnosis may
be a dilemma.
Conclusions: We believe that thorough curettage, with a careful
follow-up, is the treatment of choice for the ABCs of the jaws.
The histopathological characteristics of the specimen should be
carefully studied, as the presence of an associated aggressive
intraosseous lesion could differentiate the therapeutic approaches.
O.453 Myxobroma of the jaws: is partial resection of
mandible or maxilla still the therapy of choice?
N. Brueggemann, G. Gehrke. Department of Cranio-, Maxillo-,
Facial- and Plastic Surgery, Henriettenstiftung, Hannover,
Germany
Introduction and Objectives: The odontogenic myxobroma
is a rare benign, locally invasive growing tumour, that does not
occur outside of the jaws. Because of the local invasive behavior
of the myxobroma, some authors presume a latent malignant
potential and prefer a primary radical treatment of those tumours.
Material and Methods: During the last 10 years 5 patients with
myxobroma in the jaw region underwent surgical treatment at
our clinic. One patient received primary treatment in an other
hospital.
Results: Two patients had large tumours in the maxilla and 3
patients suffered from large tumors of the mandible. The mean
age of the patients was 46.8 years, the patients with tumours in
the mandible were younger (mean 37 years). All patients were
male. The average follow-up time was 7 years.
Conclusions: The state of art in diagnostics and surgical treatment is reviewed by literature and compared with the outcome
of our study. Though the most authors call the myxobroma a
benign tumour, one patient died of locally aggressive behaviour
of the tumour. Due to our experience the primary treatment
for myxobroma of the mandible does not need to be radical.
Myxobroma of the maxilla and recurrent myxobroma of the
mandible should always be treated by partial resection. In case
of the need of partial resection of the mandible, reconstruction
by a microvascular bula bone graft is a safe and well-accepted
method.
O.454 Ameloblastoma arising in a 5 month child:
A severe exploding lesion
A. Petti, F. Bergaminelli, R. De Santis. UOC ODT Chirurgia
maxillo-facciale ASL SA 1 Ospedali Riuniti delle 3 Valli
P.O.Umberto 1, Nocera Inferiore, Italy
The ameloblastoma is a usually non-malignant lesion of the jaw
that rarely affects children. Ralely it is reported in very young
patients. The most common age is 1530 years. We present a
5 month child referred to our Hospital for an important swelling
in the upper jaw that was growing daily more and more. The
mother stated that his dentist 3 days before had extracted a
denticulus from a swelling reddish mass on the left side. An-