Surgical management of odontogenic myxomas: A case series

Int J Surg Case Rep. 2023 Nov:112:108945. doi: 10.1016/j.ijscr.2023.108945. Epub 2023 Oct 17.

Abstract

Introduction: Odontogenic myxoma is a relatively rare bone tumor involving exclusively the jaws. Despite its benign nature, odontogenic myxoma can exhibit aggressive, locally invasiveness and has a high potential of recurrence. Surgical treatment can be conservative of radical. The choice of surgical procedure is controversial, and there are no established guidelines.

Case series presentation: We present a case series of three cases of odontogenic myxomas. This case series illustrates the variability of the radioclinical presentation of odontogenic myxoma and the resulting surgical management, ranging from simple enucleation to mandibular interruptive resection surgery with free flap reconstruction.

Discussion and conclusion: Through this case series, we highlighted and described decision criteria contributing to treatment choice and summarized this in an algorithm. Radiological tumor characteristics and also patient specific factors such as age need to be considered to make a personalized decision to each patient.

Keywords: Cases series of odontogenic myxomas; Management algorithm of odontogenic myxoma; Odontogenic tumors; Surgical management of odontogenic myxoma.