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Tropical Dental Journal - 1st Pan African international dental journal


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Published in French in Tropical Dental Journal Volume 46 - March 2023 pages 5-12

Docteur François Kouadio Surgical removal by flap technique of recurrent epulis: case report Surgical removal by flap technique of recurrent epulis: case report  est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Authors : K.F. Kouadio, Z.A.D. Pockpa, G.S. Mobio, A. Kouadio-Ahnoux, N.T. Koffi-Coulibaly - Ivory Coast


Résumé

L’épulis est une pseudo-tumeur de la muqueuse gingivale. Son diagnostic est généralement facile mais doit être confirmé par l’examen histologique. La prise en charge repose le plus souvent sur l’exérèse chirurgicale totale de la tumeur. Cependant, lorsque la technique chirurgicale est non-adaptée ou mal exécutée, l’épulis peut récidiver ou dans certains cas, l’exérèse peut occasionner des récessions gingivales. L’objectif de ce report de cas était de présenter le traitement d’une d’épulis récidivante par la technique chirurgicale du lambeau déplacé coronairement. Un cas d’épulis gingivale récidivante a été traité, au service de parodontologie du Centre de Consultations et de Traitements Odonto Stomatologiques (CCTOS - CHU de Cocody-Abidjan), par exérèse chirurgicale associée à une technique de Lambeau Déplacé Coronairement (LDC) après un bilan pré-anesthésique. L’examen anatomo-pathologique de la pièce opératoire a confirmé une épulis angiomateuse avec absence de signes histologiques de malignité. Un an après l’intervention, nous avons noté une muqueuse gingivale cliniquement saine avec absence de récidive et de récession gingivale.

Abstract
Surgical removal by flap technique of recurrent epulis: case report

Epulis is a pseudotumor of the gingival mucosa. Its diagnosis is usually easy but must be confirmed by histological examination. Management is most often based on the total surgical removal of the tumor. However, when the surgical technique is not adapted or poorly performed, epulis can recur or in some cases, cause gum recessions. The aim of this case report was to present a case of recurrent epulis treated with the surgical technique with coronary displaced flap. One case of recurrent gingival epulis was treated with surgical excision combined with a coronary displacement flap technique after a pre-anesthetic assessment. The histopathological examination of the operating room confirmed angiomatous epulis with absence of histological signs of malignancy. One year after the procedure, we noted a clinically healthy gingival mucosa with no recurrence and gum recession.

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