A pediatric odontogenic myxoma of the maxilla: A case report and review

Abstract

Odontogenic tumors represent a broad spectrum of lesions ranging from benign to malignant lesions. Benign odontogenic lesions are rare entities that are important due to their local aggressive nature and equally challenging to handle. Odontogenic myxoma (OM) in children is unusual and extremely rare. Till date, only 40 such cases have been reported in the literature with high recurrence rate between 10 and 33% with an average of 25%. We report a rare case of aggressive OM in the maxilla of a female child of 1 year and 8 months. Timely and apt histopathological diagnosis of OM enabled the surgeons to arrive at a conservative treatment plan considering esthetic and age of the child. No recurrence was noted on follow-up of the case for 6 months. The patient is kept under observation.

Odontogenic myxoma: Literature review

“…In Latin America, Tapia et al report an approximate incidence of 0.07/1,000,000 inhabitants, which represents about 3.3-15.7% of the population, which is relatively consistent with Bisla[3]. MO is considered the third most frequent odontogenic tumor, behind Odontomas and Ameloblastomas, statistically representing 3-6% of all odontogenic tumors according to Sohrabi et al,Saalim et al and other authors [4,10,23,26,29].OM can be located in different places in the maxilla or mandible. Leong et al report that 66.4% of OM occur in the mandible and 33.which agrees with Benjelloun et al[33].…”

“…Regarding age, the usual age of onset of OM is considered to be between the first and fourth decade of life [1,5,8]. However, it is also usual to find it between the second and third decade of life [8][9][10]. The information obtained is variable.…”