Odontogenic Myxoma Located in The Mandible: A Case Report

Abstract

Odontogenic myxomas are benign but locally invasive tumor originating from primordial mesenchymal tooth forming tissues which do not metastasise. They can be found in both the maxilla and mandible, usually associated with a tooth germ. It occurs mostly in the second or third decades of life and affects mainly the posterior mandible. Radiographically it appears as a unilocular or multilocular radiolucency with irregular margins. They are usually asymptomatic, with the potential to attain great size without noticeable signs and symptoms. Nevertheless, in the current literature, several symptoms have been associated with odontogenic myxomas: tooth displacement and mobility, malocclusion, facial asymmetry, delayed eruption of teeth, disturbance of speech and mastication,pain, and mandibular nerve paresthesia. They are rare tumors and account for 3.3-15.7% of all odontogenic tumors in adults. In this case report, a case of Odontogenic myxoma (OM) localized in the mandible was presented.

Odontogenic myxoma with pain and uncommon histological feature in the mandible: A case report and review the literature

“…[ 19 ] The lesion usually is well defined, and it may have a corticated margin but most often is poorly defined, especially in the maxilla. [ 20 ] The radiolucent defect may contain thin, wispy trabeculae of residual bone, which are often arranged at right angles to one another; therefore, the “soap bubble “or” tennis racquet strings” appearances are common radiologic findings. [ 21 ] Perforation of the cortical plate and radiopaque line extended from the periosteum, resembling “sunray” appearance – a rare feature of OM.…”

“…[ 26 ] Gelatinous nature and infiltrative properties and the absence of capsule are the most important description for recurrence. [ 20 ]…”

Odontogenic Myxoma –Report Of A Rare Case

“…An alternative conservative method by excision and curettage with liquid nitrogen cryotherapy has also been proposed. [3,11,16] As the lesion is notorious for recurrence, patient has to be periodically followed up. .…”

A Case Of Recurrent Odontogenic Myxoma Of The Mandible: Clinical And Radiographic Diagnosis With Review Of Literature

“…In the mandible, 65.1% of the tumors occur in the premolar-molar region while 73.8% of the lesions occur in the same region of the maxilla. 1,8…”