Management of Odontogenic Myxoma of Lower Jaw: Case Report

Abstract

Aims: Odontogenic myxoma is a benign tumor that affects the jaw bones. Although it is benign, it can cause great destruction to the tissues, creating deformities on the face. It can be easily confused with other fibro-osseous lesions, leading to inadequate treatment. The treatment of choice is surgical resection of the lesion and reconstructive surgery. Presentation of Case: In the present work, a clinical case was addressed of a female patient, aged 38 years, with a primary complaint of painless volumetric increase in soft tissues in the posterior region of the body of the mandible on the right side, with progression for two years. After clinical and complementary examinations, an incisional biopsy diagnosed odontogenic myxoma. Total Resection surgery was performed with a safety margin, and reconstruction was done with a hemi mandibular customized temporomandibular joint prosthesis. Discussion: The OM lesion affects the mandible bone. The present research diagnosed it in the mandible, too. We disagree that the radical treatment harmed the patient's quality of life; our study showed no functional or aesthetic damage because we simultaneously performed surgical reconstruction with customized prosthesis. Conclusion: As a result, total resection of the lesion was achieved with a safety margin (proven by biopsy), restoring the face's function and aesthetics.