Abstract
Odontogenic myxoma is a rare benign odontogenic tumor that originates from odontogenic ectomesenchyme of a developing tooth. A 16-year-old male patient reported a 5-month volume growth in the left side of face, without other symptoms. An incisional biopsy was conducted and revealed a mesenchymal proliferation of atypical fusiform cells, in a myxoid background with rounded calcifications and mature bone neoformations, and the diagnosis of odontogenic myxoma was confirmed. Therefore, a marginal resection of the lesion and bone reconstruction with an autogenous graft from the iliac crest and fixation with a reconstructive plate was performed under general anesthesia. Three months after surgery the patient evolved with pain, swelling, and an extraoral fistula in the left side; thus, a sequestrectomy was performed with care. After a 2-year uneventful follow-up, bone reconstruction was performed, which demonstrated great osseointegration within 1 year of follow-up.
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