Treatment Experience of Giant Ameloblastoma of the Mandible in a Patient with Schizophrenia

Abstract

As medical technology has advanced and patients’ interest in medical treatment has increased in recent years, the chance of encountering a huge ameloblastoma has decreased. When choosing the most appropriate treatment, we should consider the patient’s age, sex, general condition, social background, wishes, and postoperative quality of life while considering the radicality of the procedure. We treated a giant ameloblastoma of the mandible in a patient with schizophrenia. First, we consulted our hospital’s psychiatric department regarding perioperative mental management. We then performed tumor resection and jawbone reinforcement using a titanium plate with the patient under general anesthesia. Intravenous sedation with dexmedetomidine hydrochloride was performed for 5 days postoperatively until the patient’s general condition stabilized. The patient’s postoperative clinical course was good, and no signs of recurrence were observed 5 years after surgery.