IJOHNS  Vol.3 No.6 , November 2014
Extensive Odontogenic Myxoma of the Maxilla: A Case Report and Review of Literature
ABSTRACT
Odontogenic myxomas (OM), also called odontogenic fibromyxomas, are rare tumours of the jawbones. They are benign tumours that can be locally invasive and aggressive, but seldom undergo malignant transformation and do not give rise to metastases. They are often asymptomatic and present as painless swelling. We present herein the case of a 24-year-old patient, with an incidental finding of a maxillary lesion. The lesion expanded to the surrounding soft tissues of the face, the maxillary sinus, the nasal cavity and the ethmoidal cells. After confirmation of OM on biopsy, the patient underwent an extended right radical en bloc maxillectomy with immediate reconstruction of the inferior orbital rim. A literature review of clinical symptoms, radiological presentation, differential diagnosis and surgical management of OM is discussed.

Cite this paper
Nguyen, S. , Charbonneau, S. , Ghannoum, J. and Bissada, E. (2014) Extensive Odontogenic Myxoma of the Maxilla: A Case Report and Review of Literature. International Journal of Otolaryngology and Head & Neck Surgery, 3, 364-370. doi: 10.4236/ijohns.2014.36065.
References
[1]   Thoma, K.H. and Goldman, H.M. (1947) Central Myxoma of the Jaw. American Journal of Orthodontics and Oral Surgery, 33, B532-B540.
http://dx.doi.org/10.1016/0096-6347(47)90315-3

[2]   Daif, E.T. (2013) Prognostic Evaluation of Preserving Palatal Mucosa after Resection of Maxillary Myxoma: 10 Years’ Follow-Up. Journal of Craniofacial Surgery, 24, e361-e365.
http://dx.doi.org/10.1097/SCS.0b013e3182902f2a

[3]   Cankaya, M.A.E., Erdem, M.A., Bilgic, B. and Firat, D. (2013) Myxofibroma of the Maxilla, Current Concepts, and Differential Diagnosis. Journal of Dental Sciences, 1-4.

[4]   Simon, E.N., et al. (2004) Odontogenic Myxoma: A Clinicopathological Study of 33 Cases. International Journal of Oral and Maxillofacial Surgery, 33, 333-337.
http://dx.doi.org/10.1016/j.ijom.2003.12.004

[5]   Sriram, G. and Shetty, R.P. (2008) Odontogenic Tumors: A Study of 250 Cases in an Indian Teaching Hospital. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 105, e14-e21.
http://dx.doi.org/10.1016/j.tripleo.2008.02.021

[6]   Regezi, J.A., Kerr, D.A. and Courtney, R.M. (1978) Odontogenic Tumors: Analysis of 706 Cases. Journal of Oral Surgery, 36, 771-778.

[7]   Shah, A., et al. (2011) Odontogenic Myxoma of the Maxilla: A Report of a Rare Case and Review on Histogenetic and Diagnostic Concepts. National Journal of Maxillofacial Surgery, 2, 189-195.
http://dx.doi.org/10.4103/0975-5950.94480

[8]   Friedrich, R.E., et al. (2012) Radiographic Findings of Odontogenic Myxomas on Conventional Radiographs. Anti-cancer Research, 32, 2173-2177.

[9]   Barros, R.E., Dominguez, F.V. and Cabrini, R.L. (1969) Myxoma of the Jaws. Oral Surgery, Oral Medicine, Oral Pathology, 27, 225-236.
http://dx.doi.org/10.1016/0030-4220(69)90177-7

[10]   Effiom, O.A., Adewole, R.A. and Odukoya, O. (2011) Clinicopathological Characteristics of Odontogenic Myxoma in Nigerians. West African Journal of Medicine, 30, 255-261.

[11]   Zanetti, L.S., et al. (2011) Conservative Treatment of Odontogenic Myxoma. Journal of Craniofacial Surgery, 22, 1939-1941.
http://dx.doi.org/10.1097/SCS.0b013e318211519e

[12]   Arul, A.S., Verma, S. and Verma, R. (2013) Infiltrative Odontogenic Myxoma of the Posterior Maxilla: Report of a Case. Journal of Natural Science, Biology and Medicine, 4, 484-487.
http://dx.doi.org/10.4103/0976-9668.116990

[13]   Boffano, P., et al. (2011) Surgical Treatment of Odontogenic Myxoma. Journal of Craniofacial Surgery, 22, 982-987.
http://dx.doi.org/10.1097/SCS.0b013e3182101400

[14]   Asaumi, J., et al. (2001) Odontogenic Myxoma of Maxillary Sinus: CT and MR-Pathologic Correlation. European Journal of Radiology, 37, 1-4.
http://dx.doi.org/10.1016/S0720-048X(00)00229-1

[15]   Zhang, J., et al. (2007) Radiographic Examination of 41 Cases of Odontogenic Myxomas on the Basis of Conventional Radiographs. Dentomaxillofacial Radiology, 36, 160-167.
http://dx.doi.org/10.1259/dmfr/38484807

[16]   Kansy, K., et al. (2012) Odontogenic Myxoma: Diagnostic and Therapeutic Challenges in Paediatric and Adult Patients—A Case Series and Review of the Literature. Journal of Cranio-Maxillo-Facial Surgery, 40, 271-276.
http://dx.doi.org/10.1016/j.jcms.2011.04.009

[17]   Jaswal, A., et al. (2008) Recurrent Odontogenic Myxoma of Maxilla: A Diagnostic and Operative Dilemma. Indian Journal of Otolaryngology and Head Neck Surgery, 60, 41-44.
http://dx.doi.org/10.1007/s12070-008-0013-1

[18]   Leiser, Y., Abu-El-Naaj, I. and Peled, M. (2009) Odontogenic Myxoma—A Case Series and Review of the Surgical Management. Journal of Cranio-Maxillo-Facial Surgery, 37, 206-209.
http://dx.doi.org/10.1016/j.jcms.2008.10.001

 
 
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