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Case Reports
. 2024 Jul-Dec;14(2):224-227.
doi: 10.4103/ams.ams_38_24. Epub 2024 Aug 30.

Conservative Management of Odontogenic Myxoma - A Case Report

Srishti Agarwal  1 , Soya Alfred Xavier  1
Affiliations
Case Reports

Conservative Management of Odontogenic Myxoma - A Case Report

Srishti Agarwal et al. Ann Maxillofac Surg. 2024 Jul-Dec.

Abstract

Rationale: This is a 14-year-old girl with odontogenic myxoma of the right posterior mandibular region, which was managed conservatively by intraoral marginal mandibulectomy rather than segmental mandibulectomy.

Patient concerns: The patient and her parents were concerned about her aesthetics.

Diagnosis: The patient came with the complaint of swelling on the right lower back tooth region of the jaw, which was not associated with pain. On palpation, the swelling was bony hard and there was buccolingual expansion. On radiographic examination, there was a sunray appearance. Histopathological examination confirmed it to be an odontogenic myxoma.

Treatment: Marginal mandibulectomy was done for the patient. The whole procedure was done intraorally and closed using primary closure.

Outcomes: Postoperatively, the patient was asymptomatic and is on follow-up.

Take-away lessons: We can say that odontogenic myxoma can be managed conservatively.

Keywords: Mandibulectomy; odontogenic myxoma; paediatric; posterior mandible.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Intraoral swelling extending from 44 to 46 region
Figure 2
Figure 2
(a) Buccolingual expansion seen on the right mandibular region. (b) 3D reconstructed CT showing lesion extending from 43 to 46 region. (c) Sunray appearance seen in relation to 45 extending towards 46 and 44 region
Figure 3
Figure 3
Heamatoxylin and eosin stained section under 10x magnification showed myxoid connective tissue stroma showing polygonal to spindle shaped cells at several areas with numerous blood vessels and devoid of inflammatory cell infilterate
Figure 4
Figure 4
Surgical exposure of the lesion
Figure 5
Figure 5
Excised specimen measuring 5.5 cm × 2.5 cm × 2 cm
Figure 6
Figure 6
Reconstruction of marginally resected mandible using 2-mm 20-hole stainless steel plate to maintain stability
Figure 7
Figure 7
Orthopantomogram depicting transosseous wiring and reconstruction plate placement to maintain the continuity of the lower border of the mandible
Figure 8
Figure 8
Two-month post-operative follow-up
See this image and copyright information in PMC

References

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