Surgical Management of Aggressive Central Giant Cell Granuloma of Maxilla through Le Fort I Access Osteotomy

Reddy, Goutham; Reddy, G. Sridhar; Reddy, Nalla VivekaVardhan; Kumar, Aswin

doi:10.4103/2156-7514.96543

Cited by 5 publications

(4 citation statements)

References 7 publications

(9 reference statements)

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“…In agreement with Ahmad et al, 2016 (48) and Reddy. 2012 (29) But inconsistent with Manchanda et al, 2011 (49) who reported that surgical curettage of well-defined localized lesions is associated with a low rate of recurrence. Finally, traditional surgery of an aggressive CGCG was performed without lesion recurrence is attributed to small lesion size, early diagnosis, and high standard surgical curettage that is difficult in the maxillae.…”

Section: Discussionmentioning

confidence: 96%

“…Root resorption and tooth displacement may also be evident. (29) Although radiographic features of CGCG are not pathognomonic. There were similar findings in the OPG view of our patient, which revealed well-defined periapical unilocular radiolucent area involving the apices 11 (FDI) and 12 (FDI) with no evidence of root resorption or tooth displacement.…”

Section: Discussionmentioning

confidence: 99%

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An aggressive central giant cell granuloma of maxilla: Diagnostic dilemma, Precise differential diagnosis and successful traditional surgical approach: A case report

Elmezwghi

Alarabi

Elsagali

et al. 2020

Egyptian Dental Journal

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Central Giant Cell Granuloma (CGCG) is a benign, proliferative, intraosseous and nonodontogenic lesion of unknown etiology accounting for approximately 10% of all benign lesions of the jawbones. Lesion usually occurs in patients younger than 30 years, is more common in females than males, and is more common in mandible than maxilla. The clinical feature of CGCG ranges from a slow growing asymptomatic swelling to a rapidly enlarging aggressive lesion. CGCG of the jaws are histologically benign lesions characterized by the presence of giant cells in the richly vascularized stroma of the spindle cells. Differential diagnosis should be performed with other lesions that have multinucleated giant cells (MGCs). Definitive diagnosis relies on correct interpretation of clinical, radiographical and histopathological data. The treatment of CGCG ranges from curettage to resection. Alternative treatments are worthy of consideration, although surgical excision remains the treatment of choice. The aim of this presented case highlights a diagnostic challenge of an aggressive CGCG arising from the maxilla and to discuss a precise differential diagnosis, as well as the surgical approach and follow up which is decisive for successful conventional surgical treatment with no lesion recurrence.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

An aggressive central giant cell granuloma of maxilla: Diagnostic dilemma, Precise differential diagnosis and successful traditional surgical approach: A case report

Elmezwghi

Alarabi

Elsagali

et al. 2020

Egyptian Dental Journal

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“…It is more common in females. It usually appears in the mandibula and maxilla and sometimes displays a locally aggressive course (1)(2)(3). It is histologically defined as a non-encapsulated mass, including fibroblastic fusiform cells, multinuclear giant cells, and extravasated erythrocyte clusters.…”

Section: Discussionmentioning

confidence: 99%

“…It is seen more frequently in females than in males, and it presents in the first 3 decades of life (1,2). It is divided into two groups as peripheral and central lesions.…”

Section: Introductionmentioning

confidence: 99%

Giant Cell Reparative Granuloma in Maxilla and Mandibula: A Case Report

Akdere¹,

Kurtaran²,

Ark³

et al. 2014

Turk Arch Otolaryngol

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Giant cell reparative granuloma is a disease with an unknown etiology, characterized of benign locally aggressive lesions invading mandible and maxilla in the head and neck region. These lesions usually present as a mass and cause deformities at bony structures. The use of various medical and surgical procedures in the treatment of the disease with its rare occurrence makes these lesions interesting. In this case report we present a 47 years old female patient who had a painful swelling in the left lower left jaw and oral cavity since 8 months. After her complaints proceeded despite medical therapy, she has been operated and pathology report confirmed a giant cell reparative granuloma. We also discuss differential diagnosis and the achievements in treatment procedures.

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Le Fort I Down-Fracture for Management of Midface Tumors

Quirino

Carvalho

Santos

et al. 2020

Journal of Craniofacial Surgery

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Objective: To perform an integrative review associating current literature with a clinical series regarding the use of Le Fort I osteotomy for the removal of tumors located in the midface and central region of the skull base. Methods: A systematic review was performed through the PubMed, SCOPUS, and Cochrane databases. In addition, 4 different patients operated using the above-cited technique are described in this study. Results: Initially, 123 articles were found. After the removal of duplicates, and title and abstract reading, 27 articles were selected for data extraction. The Le Fort I surgical approach of tumors was performed in 183 patients. Conclusion: The Le Fort I surgical approach allows lesion exeresis with good visualization, low rates of recurrences and complications, and without aesthetic compromises for the patient.

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Surgical Management of Aggressive Central Giant Cell Granuloma of Maxilla through Le Fort I Access Osteotomy

Cited by 5 publications

References 7 publications

An aggressive central giant cell granuloma of maxilla: Diagnostic dilemma, Precise differential diagnosis and successful traditional surgical approach: A case report

An aggressive central giant cell granuloma of maxilla: Diagnostic dilemma, Precise differential diagnosis and successful traditional surgical approach: A case report

Giant Cell Reparative Granuloma in Maxilla and Mandibula: A Case Report

Le Fort I Down-Fracture for Management of Midface Tumors

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