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Tropical Dental Journal - 1st Pan African international dental journal


Tropical Dental Journal



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Published in French in Tropical Dental Journal Volume 45 - June 2022 pages 13-18

Monsieur Konan Marc Koffi Giant haemorrhagic odontogenic myxoma: a case reportGiant haemorrhagic odontogenic myxoma: a case report est évalué 1 étoiles par les abonnés Tropical Dental Journal Online

Authors : K.M. Koffi, M.B. Harding, O.A.D.M. Ory, R. Koné, B.T.E. Kouai, D.Y.C Ouihahi, K.E Aka, B. Ouattara, P. Bouletreau - Ivory Coast


Résumé

Le myxome est une variété rare des tumeurs bénignes des maxillaires, dont l’origine serait le mésenchyme embryonnaire du follicule dentaire. Les manifestations cliniques et radiologiques sont variables et non-spécifiques et peuvent prêter confusion avec d’autres lésions.
Nous décrivons un cas de myxome odontogène de la mandibule très hémorragique, observé chez un patient de 38 ans. Cliniquement, le patient présentait une tuméfaction péri-mandibulaire droite, indolore et ferme à la palpation. Une tomodensitométrie du massif facial montrait un processus expansif ostéolytique soufflant la mandibule, avec des réactions périostées en flammèches. Une biopsie tumorale a été en faveur d’un myxome odontogène.
Le traitement a consisté en une exérèse large de la tumeur par voie endo-buccale et cutanée, la tumeur était aux dépens de l’os. L’évolution à court terme n’a pas montré de récidive locale clinique et radiologique.
Le caractère récidivant du myxome impose un traitement radical large dépassant les limites de la lésion. La perte de substance importante impose une réparation chirurgicale ou prothétique.

Abstract
Giant haemorrhagic odontogenic myxoma: a case report

Myxoma is a rare variety of benign tumours of the maxilla, believed to originate in the embryonic mesenchyme of the dental follicle. The clinical and radiological manifestations are variable and non-specific and may be confused with other lesions.
We describe a case of a highly haemorrhagic odontogenic myxoma of the mandible in a 38-year-old patient. Clinically, the patient presented with a right peri-mandibular swelling, painless and firm to palpation. A CT scan of the face showed an osteolytic expansive process blowing out the mandible, with flaming periosteal reactions. A tumour biopsy was in favour of an odontogenic myxoma.
The treatment consisted of a large endo-buccal and cutaneous removal of the tumour, the tumour was bone-dependent. The short-term evolution did not show any local clinical or radiological recurrence.
The recurrent nature of the myxoma requires extensive radical treatment beyond the limits of the lesion. Significant loss of substance requires surgical or prosthetic repair.

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