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Management of large erupting complex odontoma in maxilla.

Murphy C, O'Connell JE, Cotter E, Kearns G - Case Rep Pediatr (2014)

Bottom Line: They are characterized by slow growth and nonaggressive behaviour.They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry.We also discuss various surgical approaches used to access this anatomic area.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.

ABSTRACT
We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area.

No MeSH data available.


Related in: MedlinePlus

Intraoperative photo of lesion.
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fig3: Intraoperative photo of lesion.

Mentions: Surgical removal of the lesion was planned using a transoral approach under general anaesthesia. A mucoperiosteal flap was raised and the tumour was identified (Figure 3). The lesion was found to be eroding into the infraorbital rim. An upper lip split incision was made to facilitate complete removal of the tumour and maintain the integrity of the orbital floor and allow safe dissection and release of the infraorbital nerve. The tumour was enucleated intact using an osteotome and a periosteal elevator, while maintaining continuity of the infraorbital rim and orbital floor. The ipsilateral buccal fat pad was mobilised and advanced to repair the maxillary defect, following tumour removal.


Management of large erupting complex odontoma in maxilla.

Murphy C, O'Connell JE, Cotter E, Kearns G - Case Rep Pediatr (2014)

Intraoperative photo of lesion.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4279725&req=5

fig3: Intraoperative photo of lesion.
Mentions: Surgical removal of the lesion was planned using a transoral approach under general anaesthesia. A mucoperiosteal flap was raised and the tumour was identified (Figure 3). The lesion was found to be eroding into the infraorbital rim. An upper lip split incision was made to facilitate complete removal of the tumour and maintain the integrity of the orbital floor and allow safe dissection and release of the infraorbital nerve. The tumour was enucleated intact using an osteotome and a periosteal elevator, while maintaining continuity of the infraorbital rim and orbital floor. The ipsilateral buccal fat pad was mobilised and advanced to repair the maxillary defect, following tumour removal.

Bottom Line: They are characterized by slow growth and nonaggressive behaviour.They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry.We also discuss various surgical approaches used to access this anatomic area.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.

ABSTRACT
We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area.

No MeSH data available.


Related in: MedlinePlus