Abstract
A 21-year-old man was referred to the oral medicine clinic for investigation of a mandibular lesion after orthodontic documentation. Extraoral examination revealed asymmetry with a volumetric increase of the mandibular angle on the left side. Intraorally, the mucosa was preserved with no expansion. Cone beam computed tomography (CBCT) revealed a well-circumscribed hypodense lesion, with anteroposterior growth involving the mandibular body in the region of teeth 37 and 38. Incisional biopsy was performed based on the diagnosis of odontogenic myxoma that was confirmed in the histopathologic examination. Partial mandibular resection through a Risdon access surgery was conducted under general anesthesia with the installation of mandibular reconstruction plate system of 2.4 mm and immediate reconstruction with a particulate graft of iliac crest associated with platelet-rich fibrin (PRF). The patient is in a follow-up of 6 months, and the last CBCT showed local bone formation.
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