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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2004 April;15(1):35-9
Odontogenic myxoma of the maxillary sinus. Case report
Marasco M., Scrimizzi M. T., Romano F., De Ponte F. S.
Unità Operativa Semplice di Chirurgia Maxillo-Facciale Policlinico G. Martino, Messina, Italy
The Authors describe a case of odontogenic myxoma of the maxillary sinus. Odontogenic myxoma is uncommon benign tumor that shows no sex preference and usually occurs in the second or third decade of life. It is often develops in the mandibular jaw. The authors describe a typical maxillary myxoma in a 54 year-old woman, an above average for the occurrence of myxoma, who presented with the particular features of the maxillary myxoma: invasion of the right sinus, orbital floor involvement and nasal infiltration. Despite the large size some myxomas can reach, many cases remain asymptomatic. In agreement with the literature, the endoral approach was carried out. According to various authors, the preferred treatment is based on conservative removal and curettage. Given the benign nature of the tumor, radical removal is not indicated; instead, when relapse occurs, local conservative treatment is preferable to reduce post-surgical trauma and psychological stress. In our patient, post-operative computed tomography follow-up examination at 13 months showed no evidence of tumor recurrence.