Endoscopic resection of the pterygoid plates following incomplete transoral resection of an odontogenic myxoma

Abstract

Odontogenic myxoma is a rare, benign, odontogenic tumour of mesenchymal origin with variable clinical behaviour and rates of recurrence. It has an incidence of about 0.07/million, and accounts for 0.5% – 20% of odontogenic tumours. 1 Simon E.N. Merkx M.A. Vuhahula E. et al. Odontogenic myxoma: a clinicopathological study of 33 cases. Int J Oral Maxillofacial Surg. 2004; 33: 333-337 Abstract Full Text Full Text PDF PubMed Scopus (145) Google Scholar , 2 Leiser Y. Abu-El-Naaj I. Peled M. Odontogenic myxoma--a case series and review of the surgical management. J Craniomaxillofac Surg. 2009; 37: 206-209 Abstract Full Text Full Text PDF PubMed Scopus (61) Google Scholar , 3 Kansy K. Juergens P. Krol Z. et al. Odontogenic myxoma: diagnostic and therapeutic challenges in paediatric and adult patients--a case series and review of the literature. J Craniomaxillofac Surg. 2012; 40: 271-276 Abstract Full Text Full Text PDF PubMed Scopus (40) Google Scholar , 4 Gomes C.C. Diniz M.G. Duarte A.P. et al. Molecular review of odontogenic myxoma. Oral Oncol. 2011; 47: 325-328 Abstract Full Text Full Text PDF PubMed Scopus (25) Google Scholar Maxillary and mandibular lesions occur in similar proportions. 5 Li T.J. Sun L.S. Luo H.Y. Odontogenic myxoma: a clinicopathologic study of 25 cases. Arch Pathol Lab Med. 2006; 130: 1799-1806 PubMed Google Scholar Maxillary lesions are of particular concern because they are close to vital structures, are difficult to follow up, and access is difficult and transcutaneous procedures may be required.