Abstract
Current treatment of odontogenic tumors (OT) ranges from simple enucleation by curettage or segmental resection. But the treatment does not stop here, we need to think about the rehabilitation of the patients. The Mandibular reconstruction can begin immediately postoperatively, but the delayed reconstruction can be the best option for treatment, because of the high risk of recurrence in some OT, but it is always a challenge. The aim of this study is to describe the approach of a case of mandibular odontogenic myxoma and your total rehabilitations. The segmental hemi-mandibulectomia was performed with an intraoral. After 2 year the iliac crest grafting to intraoral approach was done and after 6 months osseointegrated implants were put and the immediate load with hybrid prostheses was done. After 2 years of complete rehabilitation we can consider that this sequence looks like to be a good form to become social, psychological, esthetic and function in the patients.
Highlights
Current treatment of odontogenic myxoma ranges from simple enucleation, peripheral ostectomy, curettage to segmental resection and hemimandibulectomy (Adamo et al, 1980; Dodson et al, 1987; Kawase-Koga et al 2014; Shin et al, 2020;), but surgical resection is the most appropriate treatment for these cases,4 (Takahashi et al 2018) because the recurrence rates are high, at around 25% (Rocha et al 2009)
The aim of this study was to describe the long-term outcome of a case of mandibular odontogenic myxoma managed by segmental resection, with an intraoral approach followed by iliac crest grafting and rehabilitation with dental implants
Cone-beam computed tomographic (CT) revealed a multilocular hypodense image involving the roots of the teeth 41 to 47 without displacement and root resorption, expansion of the vestibular cortical and tapering of the lingual cortical near the mandibular canal with integrity of the base of the mandible.(Figure 3) Based on the clinical and radiographic findings, the differential diagnosis included: ameloblastoma, myxoma and central giant cell lesion
Summary
Odontogenic myxoma (OM) is a benign mesenchymal tumor, characterized by stellate and spindle -shaped cells, which may contain odontogenic epithelium, (Chrcanovic e Gomez., 2018) the World Health Organization (WHO) classified as tumor of ectomesenchyma origin with or without odontogenic epithelium (Pindborg et al, 1971).Current treatment of odontogenic myxoma ranges from simple enucleation, peripheral ostectomy, curettage to segmental resection and hemimandibulectomy (Adamo et al, 1980; Dodson et al, 1987; Kawase-Koga et al 2014; Shin et al, 2020;), but surgical resection is the most appropriate treatment for these cases, (Takahashi et al 2018) because the recurrence rates are high, at around 25% (Rocha et al 2009).Segmental mandibular defect after tumor surgery can be reliably reconstructed using pedicled myocutaneous flaps, free grafts including particulate or cortical bone, alloplasts, pedicled osteomyocutaneous flaps, and free vascularized bone flaps. (Kumar et al 2016; Shin et al, 2020)The aim of this study was to describe the long-term outcome of a case of mandibular odontogenic myxoma managed by segmental resection, with an intraoral approach followed by iliac crest grafting and rehabilitation with dental implants. Current treatment of odontogenic myxoma ranges from simple enucleation, peripheral ostectomy, curettage to segmental resection and hemimandibulectomy (Adamo et al, 1980; Dodson et al, 1987; Kawase-Koga et al 2014; Shin et al, 2020;), but surgical resection is the most appropriate treatment for these cases, (Takahashi et al 2018) because the recurrence rates are high, at around 25% (Rocha et al 2009). Segmental mandibular defect after tumor surgery can be reliably reconstructed using pedicled myocutaneous flaps, free grafts including particulate or cortical bone, alloplasts, pedicled osteomyocutaneous flaps, and free vascularized bone flaps. The aim of this study was to describe the long-term outcome of a case of mandibular odontogenic myxoma managed by segmental resection, with an intraoral approach followed by iliac crest grafting and rehabilitation with dental implants
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
