Diagnosed with Ameloblastoma
Reaching out to anyone else wanting to connect with others diagnosed with Ameloblastoma and the journey involved.
My background, diagnosed February 2021, segmental mandibulectomy, fibula free flap March 2021.
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I'm scheduled for a consultation in early July. He has all my CTs, MRI's etc. They asked me to have 2 more scans and bloodwork. Then the following day I have a consultation. Im assuming if it goes well, then I'll get a surgery date.
Appreciate the sense of humor. I'm trying to be light about it all too. And yes, I keep thinking "why am I doing this to myself?" because my tumor is internal and painless and I am feeling great.... now. But I know it's necessary or worse could happen. My husband and I were just saying how they are going to take a bone out of my leg, skin above my knee, arteries from my neck , do a trach, give me a feeding tube...and yet even though I have this tumor, I don't feel like there's anything wrong with me. I'm convinced we all get our turn at some sort of ailment. I'm sure I have no idea what I'm in for, but I come from some resilient and strong stock as my 90 year old dad reminded me today! One year he had 6 surgeries; this year he's had 3 small ones. He was out in the yard gardening today. I'll let you all know how the consultation goes with Dr. Arce.
@la93 Because surgery can be a scary adventure in life, my belief systems shaped through life convince me that when my time is up, it’s up. I shall live with no regrets. To that end, a few humorous notes:
At Mayo Rochester, the hospital where the surgery is done and recovery is a massive complex about a mile west of the clinic. Surgery is in the southeast lower corner. My bed was in an upper floor to the northwest. As they wheeled me off to surgery my wife waved and said “I’ll see you on the other side.” The nurse and aid did a double take and assured my wife I would be alright, and would not be crossing over to the other side.
#2. As I filled out the online pre surgery forms, one question asked how I would like to be addressed, meaning nicknames or reverend or major, etc. Thinking things could go sideways and this may be my last life experience, how would I like to be addressed? Your Majesty for my last days would be a great way to be addressed, as long as you are asking and giving me a choice here. “Your Majesty” is what I put down on the form. I had lots of visitors post surgery, curious as they were. A bit of a laugh for an otherwise dreary bed time. And the HRH moniker still survives to this day.
#3 I had a second surgery to open the pegs for a teeth prosthetic as well as closing a stubborn trachea that never fully healed. I was to be put under once again. As the wonderful anesthesiologist asked me to count backwards from 100 (it really should be from just 10) I looked at her and asked “Can I get you anything while I’m out?” I drifted off to a room full of laughter.
Courage.
I understand the anxiety you are facing. First moments of recovery with my wife in the hospital room I wrote on the dry-erase board “What have I done?”
But recovery was quick.
You are in excellent hands with Dr. Arce and his team. They have taught numerous folks around the world this unique procedure.
Feel free to ask me any questions about this upcoming surgery. When are you scheduled?
I submitted all of my scans, MRI's etc and today, within 3 days of contacting them, I heard back from Mayo with an appointment date for Dr. Arce. I was so excited that I felt like I won the lottery! Since this surgery on my maxilla is inevitable, I'm just pleased to have a physician who has experience in this area. I wonder how much time will be between the consultation and a surgery date... Since Diagnosed in April I've thought about nothing else, and at this point, just want to get it going. Feeling grateful to this forum for everyone's support.
We live about five hours drive away. They sent us home after a week in hospital. My wife made me get out of the car a couple of times to walk around a bit, good for the blood flow they said. Anyway, after two weeks we returned to have the tube removed however, Docs wanted to check a few things, their schedule had an emergency, etc. result was an unexpected overnight without our equipment for tube feeding.
We actually ended up holding off on the tube removal and returned a week later.
I’m smiling likely because all other news was great concerning the healing process. Pain was minimal. And the best laid plans of mice and men……
Even in this photo you are smiling--not long after surgery! And your face looks good. How on earth do you get out the door of the hospital with a feeding tube, and on your way? I didn't hear back from Mayo on line, so I'm going to call in the morning.
Photo attached shows my wonderful feeding tube with a makeshift liquid lunch bag suspension using a hanger and hotel lamp. We weren’t prepared for an overnight in Rochester. Schedules change, emergencies happen. Note the CAM boot on the floor.
I have enjoyed a lot of life in those past five years.
Like many on here, my maxillary + FFF surgeries (6 hours) was performed by the team of Arce/Ettinger. My surgery was on a Tuesday and I flew home on a Saturday, using a walking boot (wheelchair in O"Hare) and cane.
I had a feeding tube for three weeks (removed locally by my PCP) and found it be quite efficient since I am the type that I eat to live and not live to eat. You just have to be VERY careful not to catch the feeding tube on something because it is stitched in place in your nostril. The ouch is very painful and I probably did this once a day.
I was driving within 2-3 weeks (four years ago so my memory is fading) and walking 3 miles again in 5-6 weeks. I used to be a competitive racquetball player and the FFF might have affected that had my back not failed me in 2019.
Like you, I sometimes wonder if I could have found a local solution (my ENT referred me to maxillary surgeon at Baylor-Dallas) but with the help of my PCP, I ended up choosing the Mayo Clinic, specifically because my age, and my ameloblastoma tumor in my right sinus cavity.
I made several follow-up trips to Rochester in 2021-2022 and now make annual trips every summer to see Dr. Arce and Dr. Muller (prosthodontist) and when I fly home -- I am always glad I chose the Mayo Clinic, even if it costs me about $1K per trip.
@tomschwerdt. I felt very soft tissue behind my upper right molar and in my heart knew something was terribly wrong. I asked my dentist about it a year ago. Showed nothing on an X-ray. I asked again a year later when the tissue become very soft. He said a cyst and referred me to an oral surgeon. Meanwhile there was sinus blockage, so an ENT actually felt the soft tissue in my gum at my request and asked that I see a maxillofacial surgeon who would go into the Sinus surgery with him. That Maxillofacial surgeon drained the cyst first to see what he'd be dealing with during sinus surgery, and from that we discovered Ameloblastoma. Now no sinus surgery, as I have this bigger issue to deal with. Since draining the Amelo. the next CT scan showed the sinuses opened some. They expect to take two or three teeth and if so say I need the fibular transplant. I have a good ENT surgeon but he did admit never dealing with an Aemloblastoma in the maxilla (I know rarer than others), but he is a tumor specialist for ENT. I trust this doctor and his vascular partner in surgery, but in my heart want to go to Mayo for another opinion. I have to get to my documents to look up tumor size, and will get back to you. Ive had 3 CT scans, a PET scan, 4 MRIs. Dr said the tumor has likely been there for 10 yrs.