Escamilla CLE, Ruiz RR, Mosqueda TA

Language: Spanish
References: 23
Page: 244-250
PDF size: 293.36 Kb.

ABSTRACT

Odontogenic myxoma are intraosseous lesions originating in embrionic connective tissue. They are benign lesions but locally aggressive and moderately recurrent. Objective: Surgical tumor resection with immediate primary reconstruction to return function and aesthetics. Case report: A 29 year old female patient attending ambulatory practice of the Maxillofacial Surgery Clinic for assessment and treatment. She presented volume increase and asymmetry in the right hemifacial region due to a tumor of approximately 5 year evolution, previously surgically treated to excise the lesion. Histological study reported piogenic granuloma. After surgery the patient experienced a slow and progressive recurrence of the tumor, disabling the patient in mastication, deglutition and breathing functions, and causing facial disfigurement. Treatment: Incisional biopsy was performed. It reported odontogenic myxoma. In the operating theatre, with the patient under general anaesthesia, it is decided to perform the tumor resection with immediate primary reconstruction of the orbital region with an autogenous graft of the iliac crest to later manufacture a palatine obturator.

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