Surgical management of odontogenic myxoma: a case report and review of the literature.
Surgical management of odontogenic myxoma: a case report and review of the literature.
复制标题
DOI：
10.1186/1756-0500-7-214
复制
发表时间：
2014-04-05
影响因子：
1.8
通讯作者：
Mori Y
中科院分区：
文献类型：
--
作者：
Kawase-Koga Y;Saijo H;Hoshi K;Takato T;Mori Y
牙源性黏液瘤是一种良性的牙源性肿瘤，具有局部侵袭性，在口腔中相对少见。目前对于牙源性粘液瘤尚无明确的手术治疗指南，可采用多种手术方法。本研究评估了有关牙源性粘液瘤手术治疗的文献，并报告了一个病例的长期结果，该病例采用了更保守的手术方法。我们通过摘除和刮除治疗了一名40岁的日本男性右下颌骨牙源性粘液瘤，这是一种相对保守的方法，已被证明是合理的，因为10年来没有复发。我们的策略与文献中报道的其他策略进行了比较，这些策略是通过PubMed检索使用术语“牙源性粘液瘤”确定的。排除无全文或数据缺失的文章。我们比较了报告病例中患者的年龄和性别、肿瘤位置（上颌骨/下颌骨）、治疗（保守/根治）、复发和随访时间。在最初的211项研究中，有20项研究符合下颌骨牙源性粘液瘤的病例。报告了3例采用更保守手术方法治疗的病例复发。在我们的一些病例中，眼球摘除和刮除术被证明是一种有效的方法，手术后10年以上没有复发，但复发的风险似乎更高。我们讨论的重要因素，必须考虑时，确定正确的管理方法，牙源性粘液瘤。
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. 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. 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.