The importance of studying ameloblastic fibromas in children is underscored by the limited availability of clinical data, as the tumor is rare—representing between 1% and 4.5% of all odontogenic neoplasms in young patients. Therefore, clinical guidelines for diagnosis and treatment are often based on case series and retrospective studies. Furthermore, the specific nature of childhood limits the use of radical surgical methods due to the potential consequences for the development of the facial skeleton and the child's psychosocial adaptation. A mother and her 14-year-old child presented to a specialized clinic at a multidisciplinary hospital complaining of a left mandibular deformity. The patient's medical history revealed that the tumor was discovered incidentally during a visit to a local dentist, and they were referred to the Republican Children's Clinical Hospital in Ufa. A clinical, radiological, and computed tomography examination revealed a space-occupying lesion localized in the area of the angle and body of the left mandible. In the operating room, under endotracheal anesthesia, an organ-preserving procedure was performed: tumor enucleation and curettage of the bone walls of the tumor through an approach from the left submandibular region. The bone surface was treated with an electrocoagulator to completely remove the soft tissue remnants of the tumor, and the wound was sutured with drainage. A gross specimen was sent for histological examination. A repeat CT scan was performed: there is no evidence of tumor recurrence, the residual bone cavity is regenerating, and the bone tissue is recovering. In conclusion, the following conclusions can be drawn: given the high regenerative capacity of bone tissue in children, in our opinion, surgical treatment of benign tumors should be performed using a marginal resection, i.e., an organ-preserving approach.
Chuykin et al. (Fri,) studied this question.