Importance of imagenology in the management of an odontogenic mixoma in the maxilla. Case report
DOI:
https://doi.org/10.60094/RID.20240301-35Abstract
Odontogenic myxoma is the third most common benign odontogenic neoplasm, characterized by stellate and fusiform cells dispersed in an abundant myxoid extracellular matrix. It has a higher prevalence between the second and fourth decades of life, with a predominance of the female sex. The purpose of this study is to present a case of an odontogenic myxoma in the maxilla in which different imaging tools were used for surgical resolution. This is a 39-year-old woman, who sought care in the maxillofacial surgery service of the Hospital General del Oeste “Dr. José Gregorio Hernández”. The patient had a slight increase in volume accompanied by moderate intensity pain in the left middle third of the face. In the cone beam tomography, a heterogeneous image was seen that occupied the entire anatomy of the left maxilla, isodense in the majority of the image with some hyperdense foci inside, invading the nasal fossa and displacing the orbital floor, which allowed planning and performing biopsy to establish the diagnosis. Based on the histopathological diagnosis of odontogenic myxoma, it was determined to perform a left hemimaxylectomy and two-stage reconstruction, also planned based on the imaging studies that were essential for the resolution of the case.
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Vered M, Wright JM. Update from the 5th edition of the World Health Organization Classification of head and neck tumors: odontogenic and maxillofacial bone tumours. Head Neck Pathol. 2022 Mar;16(1):63-75. DOI: https://doi.org/10.1007/s12105-021-01404-7
Chrcanovic BR, Gomez RS. Odontogenic myxoma: an updated analysis of 1,692 cases reported in the literature. Oral Dis. 2019 Apr;25(3):676-83. DOI: https://doi.org/10.1111/odi.12875
Dotta JH, Miotto LN, Spin-Neto R, Ferrisse TM. Odontogenic Myxoma: systematic review and bias analysis. Eur J Clin Invest. 2020 Apr;50(4):e13214. DOI: https://doi.org/10.1111/eci.13214
Ngham H, Elkrimi Z, Bijou W, Oukessou Y, Rouadi S, Abada RL, Roubal M, Mahtar M. Odontogenic myxoma of the maxilla: A rare case report and review of the literature. Ann Med Surg (Lond). 2022 Apr 6;77:103575. DOI: https://doi.org/10.1016/j.amsu.2022.103575
Martins HD, Vieira EL, Gondim AL, Osório-Júnior HA, da Silva JS, da Silveira ÉJ. Odontogenic Myxoma: follow-Up of 13 cases after conservative surgical treatment and review of the literature. J Clin Exp Dent. 2021 Jul 1;13(7):e637-e41. DOI: https://doi.org/10.4317/jced.58080
Díaz-Reverand S, Naval-Gías L, Muñoz-Guerra M, González-García R, Sastre-Pérez J, Rodríguez-Campo FJ. Mixoma odontogénico: presentación de una serie de 4 casos clínicos y revisión de la literatura. Rev Esp Cirug Oral y Maxilofac [Internet]. 2018 Sep [citado 2023 Sep 19] ; 40( 3 ): 120-128. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-05582018000300120&lng=es. https://dx.doi.org/10.1016/j.maxilo.2017.03.002
Ramesh S, Govindraju P, Pachipalusu B. Odontogenic myxoma of posterior maxilla - A rare case report. J Family Med Prim Care. 2020 Mar 26;9(3):1744-1748. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1189_19
López LJC, Luna OK, López NJC. Hemimaxilectomía con abordaje intraoral para resección de mixoma odontogénico: reporte de caso. Rev Mex Cir Bucal Maxilofac. 2020;16 (1):27-35. DOI: https://doi.org/10.35366/93385
Bisla S, Gupta A, Narwal A, Singh V. Odontogenic myxoma: ambiguous pathology of anterior maxilla. BMJ Case Rep. 2020 Aug 25;13(8):e234933. DOI: https://doi.org/10.1136/bcr-2020-234933
Gonzabay E., Cedeño M., Pinos P. Mixoma odontogénico. Una revisión de la literatura. RECIAMUC, 2020:59-70. DOI: https://doi.org/10.26820/reciamuc
Bianco BCF, Sperandio FF, Hanemann JAC, Pereira AAC. New WHO odontogenic tumor classification: impact on prevalence in a population. J Appl Oral Sci. 2019 Nov 25;28:e20190067. DOI: https://doi.org/10.1590/1678-7757-2019-0067
Assouline SL, Meyer C, Weber E, Chatelain B, Barrabe A, Sigaux N, Louvrier A. How useful is intraoperative cone beam computed tomography in maxillofacial surgery? An overview of the current literature. Int J Oral Maxillofac Surg. 2021 Feb;50(2):198-204. DOI: https://doi.org/10.1016/j.ijom.2020.05.006
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