Odontogenic Myxoma of Maxilla: Conservative or Radical Surgery?

Abstract

mor, incidence rate is approximately 0.07 new cases per million people per year [7,8].All reports generally agree that the tumour frequently presents in the second or third decades of life [8][9][10].Most common clinical characteristics of odontogenic myxoma are swelling of the jaws with only few patients complaining of pain, paraesthesia and ulceration, 28% for pain and 56% for swelling [11].Several studies indicating that there is a higher rate of tumour incidence in the mandible than the maxilla [12][13][14][15], and almost occurring in the premolar and molar region of both jaws and rarely crosses the midline [12,16,17].Cortical expansion and perforation are common findings; however, maxillary myxomas often extend into the sinus [18]. The adequate management of Odontogenic myxoma (OM) is a challenging problem against the high risk of recurrence.The aim of this paper is to report a case of odontogenic myxoma that affected the left maxilla focusing especially on surgical management. Case ReportA 42-year-old female was referred to our department with a complaint of a growing swelling in the area of the canin and premolar molar in his left maxilla that had been noticed a few weeks before. Upon admission, she noticed a swelling measuring about the size of a peanut in the gingiva of upper premolar tooth. That lesion had been excised by a dentist and the histopathologist con- AbstractOdontogenic myxoma (OM) is a benign, locally invasive and aggressive, non-metastasizing neoplasm of the jaw bones. This article presents a rare case of odontogenic myxoma occurring in the maxilla of a 42-year-old female patient with review of the literature emphasizing a huge controversy regarding the surgical management.