Yoko Kawase-Koga
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Review article
Language English
Peer review Peer reviewed
Title Surgical management of odontogenic myxoma: a case report and review of the literature.
Journal Formal name:BMC research notes
Abbreviation:BMC Res Notes
ISSN code:17560500/17560500
Domestic / ForeginForegin
Volume, Issue, Page 7,pp.214
Author and coauthor Kawase-Koga Yoko, Saijo Hideto, Hoshi Kazuhito, Takato Tsuyoshi, Mori Yoshiyuki
Publication date 2014/04
Summary BACKGROUND:Odontogenic myxoma is a benign odontogenic tumor with locally aggressive behavior, and is relatively rare in the oral cavity. There are currently no clear surgical management guidelines for odontogenic myxoma, and a variety of approaches may be used. This study evaluated the literature concerning the surgical management of odontogenic myxoma, and reports the long-term outcome of a case managed by using a more conservative surgical approach.CASE PRESENTATION:We managed a 40-year-old Japanese man with odontogenic myxoma in the right mandible by enucleation and curettage, a relatively conservative approach that has proved to have been justified by a lack of recurrence over 10 years. Our strategy was compared with others reported in the literature, which was identified by a PubMed search using the term "odontogenic myxoma". Articles without full text or with missing data were excluded. The age and sex of patients, the tumor location (maxilla/mandible), treatment (conservative/radical), recurrence, and follow-up period were compared in the reported cases that we evaluated. From the initial 211 studies identified, 20 studies qualified as mandibular cases of odontogenic myxoma. Recurrence was reported in three cases that had been treated with a more conservative surgical approach.CONCLUSIONS:Enucleation and curettage has proved an effective approach in several cases in ours there has been no recurrence more than 10 years after surgery but the risk of recurrence appears to be higher. We discuss the important factors that must be considered when determining the correct management approach to odontogenic myxoma.
DOI 10.1186/1756-0500-7-214
PMID 24708884