Abstract

Odontogenic myxoma is a locally aggressive benign odontogenic tumor that mainly affects women. It occurs commonly in the mandible, being asymptomatic and slow growing. A male patient, 52 years old, was diagnosed with odontogenic myxoma. He presented with a painless swelling in the right retromandibular region. Orthopantomography and cone beam computerized tomography revealed a mixed multiloculated osteolytic lesion in the right mandibular angle and ramus with expansion into cortical bone. A segmental mandibular resection with safety margins was done, and autologous vascular iliac crest graft was fixed with a plate for osteosynthesis. Clinical-radiographic control at 1 year showed preserved mandibular mobility, bone neoformation, and absence of recurrence. The absence of capsule facilitates the tumor infiltration and explains its high recurrence. For odontogenic myxomas of

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