Conservative treatment of odontogenic myxoma with extensive maxillary involvement
Keywords:
maxilla, maxillary neoplasms, odontogenic tumorsAbstract
Introduction: Odontogenic myxoma is a rare benign tumor of mesenchymal origin with an aggressive behavior of slow and asymptomatic expansion. The treatment is surgical with various options from conservative to radical surgery.
Objective: To present a case of odontogenic myxoma with extensive maxillary involvement with conservative surgical treatment.
Clinical Case: A 14-year-old mixed-race male patient presented swelling with facial deformity. The tomography revealed a 10 x 10 cm isodense lesion with involvement of the orbital floor. The diagnosis of odontogenic myxoma was anatomopathological. Conservative surgery was performed: enucleation with peripheral osteotomy and extraction of involved teeth. Six months later, a maxillary obturator prosthesis was placed, and at 6 years of follow-up the patient was asymptomatic without tumor recurrence.
Conclusions: Odontogenic myxoma is rare and requires surgical treatment; conservative treatment may be a surgical option which requires long-term periodic monitoring to assess recurrence.
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Copyright (c) 2025 Marly Grisel Céspedes-Herrera, JACKELINE PAOLA CONTO-PALOMINO, Hosting Barria-Angulo, Jhames Iván Oré De La Cruz, Hebert Ochoa Huamán, Noé Atamari-Anahui
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