Skip to main content
Erschienen in:

03.01.2021 | Original Article

Clinical Spectrum and Treatment of Odontogenic Myxoma: Analysis of 37 Cases

verfasst von: Shahd Osman, Ghofran M Hamouda, Yousif I. Eltohami

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 2/2024

Einloggen, um Zugang zu erhalten

Abstract

Background

Odontogenic myxoma is one of the benign mesenchymal odontogenic tumours with aggressive behaviour and showed slow and asymptomatic expansion, the second until the third decade of life is the most targeted age group. With high female preponderance, about the management, surgical management is the only option concerning this odontogenic pathology with a variety of treatment options. This study aims to analyse a series of 37 patients with odontogenic myxoma treated in a single institution.

Materials and method

In total, 37 patients with odontogenic myxoma were treated at KTDH in Sudan and were retrospectively reviewed. With the analysis of medical records of all patients diagnosed with odontogenic myxoma and the related variables, data were analysed using the SPSS statistical program (version 23).

Results

Most of the cases were females (26 patients 70.27%), and males were about (11 patients 29.73%). In most of the cases maxilla was affected more than the mandible (25 cases, 67.57%) mostly in its posterior segment (32 cases, 86.49). The most age group affected was the group of cases (0–20) which were about 18 cases (48.65%). In total, 35 of the cases noticed swelling (94.59%), while 14 noticed tooth mobility (37.84%) and paraesthesia was a positive finding in just one case (2.70%). In total, 12 patients (32.43%) had a positive history of tooth extraction related to the lesion, and recurrence was positive in (64, 86%).

Conclusion

Odontogenic myxoma is locally aggressive. There is no gold standard protocol for surgical treatment so choosing the most suitable and reliable treatment option relay on the operator taking into consideration the characteristic of each case and the recurrence rate with the associated postoperative impairments.
Literatur
1.
Zurück zum Zitat Kimura A, Hasegawa H, Satou K, Kitamura Y (2001) Odontogenic myxoma showing active epithelial islands with microcystic features. J Oral Maxillofac Surg 59:1226–1228 CrossRefPubMed Kimura A, Hasegawa H, Satou K, Kitamura Y (2001) Odontogenic myxoma showing active epithelial islands with microcystic features. J Oral Maxillofac Surg 59:1226–1228 CrossRefPubMed
2.
Zurück zum Zitat Aquilino RN, Tuji FM, Eid NLM, Molina OF, Joo HY, Neto FH (2006) Odontogenic myxoma in the maxilla: a case report and characteristics on CT and MR. Oral Oncol Extra 42(4):133–136CrossRef Aquilino RN, Tuji FM, Eid NLM, Molina OF, Joo HY, Neto FH (2006) Odontogenic myxoma in the maxilla: a case report and characteristics on CT and MR. Oral Oncol Extra 42(4):133–136CrossRef
3.
Zurück zum Zitat Li TJ, Sun LS, Luo HY (2006) Odontogenic myxoma: a clinicopathologic study of 25 cases. Arch Pathol Lab Med 130(12):1799–1806CrossRefPubMed Li TJ, Sun LS, Luo HY (2006) Odontogenic myxoma: a clinicopathologic study of 25 cases. Arch Pathol Lab Med 130(12):1799–1806CrossRefPubMed
4.
Zurück zum Zitat Simon ENM, Merkx MAW, Vuhahula E, Ngassapa D, Stoelinga P (2004) Odontogenic myxomas: a clinicopathological study of 33 cases. Int J Oral Maxillofac Surg 33(4):333–337CrossRefPubMed Simon ENM, Merkx MAW, Vuhahula E, Ngassapa D, Stoelinga P (2004) Odontogenic myxomas: a clinicopathological study of 33 cases. Int J Oral Maxillofac Surg 33(4):333–337CrossRefPubMed
5.
Zurück zum Zitat Deliverska EG (2013) Odontogenic myxoma- a rare case and diagnostic and therapeutic challenges. J IMAB Ann Proc (Scientific Papers) 19(4):404–406 CrossRef Deliverska EG (2013) Odontogenic myxoma- a rare case and diagnostic and therapeutic challenges. J IMAB Ann Proc (Scientific Papers) 19(4):404–406 CrossRef
6.
Zurück zum Zitat Shah A, Lone P, Latoo S, Ahmed I, Malik A, Hassan S, Naik A, Rashid RU (2011) Odontogenic myxoma of the maxilla: A report of a rare case and review on histogenetic and diagnostic concepts. Natl J Maxillofac Surg 2(2):189–195CrossRefPubMedPubMedCentral Shah A, Lone P, Latoo S, Ahmed I, Malik A, Hassan S, Naik A, Rashid RU (2011) Odontogenic myxoma of the maxilla: A report of a rare case and review on histogenetic and diagnostic concepts. Natl J Maxillofac Surg 2(2):189–195CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Leiser Y, Abu-El-Naaj I, Peled M (2009) Odontogenic myxoma–a case series and review of the surgical management. J Craniomaxillofac Surg 37:206–209CrossRefPubMed Leiser Y, Abu-El-Naaj I, Peled M (2009) Odontogenic myxoma–a case series and review of the surgical management. J Craniomaxillofac Surg 37:206–209CrossRefPubMed
8.
Zurück zum Zitat Noffke CE, Raubenheimer EJ, Chabikuli NJ, Bouckaert MM (2007) Odontogenic myxoma: a review of the literature and report of 30 cases from South Africa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:101–109CrossRefPubMed Noffke CE, Raubenheimer EJ, Chabikuli NJ, Bouckaert MM (2007) Odontogenic myxoma: a review of the literature and report of 30 cases from South Africa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:101–109CrossRefPubMed
9.
Zurück zum Zitat Singaraju S, Wanjari SP, Parwani RN (2010) Odontogenic myxoma of the maxilla: a report of a rare case and review of the literature. J Oral Maxillofac Pathol 14:19–23CrossRefPubMedPubMedCentral Singaraju S, Wanjari SP, Parwani RN (2010) Odontogenic myxoma of the maxilla: a report of a rare case and review of the literature. J Oral Maxillofac Pathol 14:19–23CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Kansy K, Juergens P, Krol Z, Paulussen M, Baumhoer D, Bruder E, Schneider J, Zeilhofer HF, Schwenzer-Zimmerer K (2012) Odontogenic myxoma: diagnostic and therapeutic challenges in pediatric and adult patients–a case series and review of the literature. Craniomaxillofac Surg 40:271–276CrossRef Kansy K, Juergens P, Krol Z, Paulussen M, Baumhoer D, Bruder E, Schneider J, Zeilhofer HF, Schwenzer-Zimmerer K (2012) Odontogenic myxoma: diagnostic and therapeutic challenges in pediatric and adult patients–a case series and review of the literature. Craniomaxillofac Surg 40:271–276CrossRef
11.
Zurück zum Zitat Kansy K, Juergens P, Krol Z, Paulussen M, Baumhoer D, Bruder E, Schneider J, Zeilhofer HF, Schwenzer-Zimmerer K (2012) Odontogenic myxoma: diagnostic and therapeutic challenges in paediatric and adult patients–a case series and review of the literature. Craniomaxillofac Surg 40:271–276CrossRef Kansy K, Juergens P, Krol Z, Paulussen M, Baumhoer D, Bruder E, Schneider J, Zeilhofer HF, Schwenzer-Zimmerer K (2012) Odontogenic myxoma: diagnostic and therapeutic challenges in paediatric and adult patients–a case series and review of the literature. Craniomaxillofac Surg 40:271–276CrossRef
12.
Zurück zum Zitat Lo Muzio L, Nocini P, Favia G, Procaccini M, Mignogna MD (1996) Odontogenic myxoma of the jaws: a clinical, radiologic, immunohistochemical, and ultrastructural study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:426–433CrossRefPubMed Lo Muzio L, Nocini P, Favia G, Procaccini M, Mignogna MD (1996) Odontogenic myxoma of the jaws: a clinical, radiologic, immunohistochemical, and ultrastructural study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:426–433CrossRefPubMed
13.
Zurück zum Zitat Boffano P, Gallesio C, Barreca A, Bianchi FA, GarzinoDemo P, Roccia F (2011) Surgical treatment of odontogenic myxoma. J Craniofac Surg 22:982–987CrossRefPubMed Boffano P, Gallesio C, Barreca A, Bianchi FA, GarzinoDemo P, Roccia F (2011) Surgical treatment of odontogenic myxoma. J Craniofac Surg 22:982–987CrossRefPubMed
14.
Zurück zum Zitat Zanetti LS, De Carvalho BM, Garcia IR Jr, de Barros LA, Dos Santos PL, de Moraes Ferreira AC (2011) Conservative treatment of odontogenic myxoma. J Craniofac Surg 22:1939–1941CrossRefPubMed Zanetti LS, De Carvalho BM, Garcia IR Jr, de Barros LA, Dos Santos PL, de Moraes Ferreira AC (2011) Conservative treatment of odontogenic myxoma. J Craniofac Surg 22:1939–1941CrossRefPubMed
15.
Zurück zum Zitat Gopinath AL, Reyazulla MA, Dutta A, Nandini S (2015) Odontogenic myxoma: a rare case of aggressive tumor with an interesting treatment strategy. Int J Oral Health Med Res 2(2):43–46 Gopinath AL, Reyazulla MA, Dutta A, Nandini S (2015) Odontogenic myxoma: a rare case of aggressive tumor with an interesting treatment strategy. Int J Oral Health Med Res 2(2):43–46
Metadaten
Titel
Clinical Spectrum and Treatment of Odontogenic Myxoma: Analysis of 37 Cases
verfasst von
Shahd Osman
Ghofran M Hamouda
Yousif I. Eltohami
Publikationsdatum
03.01.2021
Verlag
Springer India
Erschienen in
Journal of Maxillofacial and Oral Surgery / Ausgabe 2/2024
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-020-01497-7

Weitere Artikel der Ausgabe 2/2024

Journal of Maxillofacial and Oral Surgery 2/2024 Zur Ausgabe

Neu im Fachgebiet Chirurgie

Schwangere mit Appendizitis-Verdacht: Im Zweifel hilft die MRT

Eine akute Appendizitis präsentiert sich bei Schwangeren häufig nicht mit den bekannten Zeichen und Symptomen. Zur Abklärung sollte im Zweifel eine MRT herangezogen werden.

Diabetische Fußosteomyelitis: vollständige Resektion infizierter Knochen unnötig?

Ob man einer diabetischen Fußosteomyelitis mit kompletter oder partieller chirurgischer Resektion der infizierten Knochen begegnet, scheint laut Ergebnissen einer Studie für den längerfristigen Behandlungserfolg unerheblich zu sein.

Endometriom-Therapie: Wann medikamentös, wann chirurgisch?

Endometriosebedingte Zysten in den Eierstöcken führen bei vielen Frauen zu Schmerzen und Fruchtbarkeitsproblemen. Die Therapie erfordert eine sorgfältige Abwägung zwischen konservativen und operativen Maßnahmen. In diesem Beitrag fassen wir die wichtigsten Erkenntnisse des diesjährigen DGGG-Kongresses zusammen.

Abdominales Aortenaneurysma: Sinkt die perioperative Mortalität dank Früherkennung?

In Schweden ist die Anzahl an Notoperationen bei abdominalen Aortenaneurysmen zurückgegangen, potenziell sicherere elektive Eingriffe nehmen dagegen zu. Forschende führen das auf ein einschlägiges Screeningprogramm zurück.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.