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Minerva Stomatologica 2018 June;67(3):96-101

DOI: 10.23736/S0026-4970.17.04070-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Management of primary odontogenic myxoma

Silvia TORTORICI 1, Angelo ITRO 2, Paolo DIFALCO 1

1 Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy; 2 Multidisciplinary Department of Surgical and Dental Specialties, “Luigi Vanvitelli” University of Campania, Caserta, Italy


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BACKGROUND: This retrospective study describes our experience in the management of odontogenic myxoma.
METHODS: Thirty-four patients (23 female and 11 male) with single lesions were treated. Thirty-three patients were adults (mean age 33.5 years) and one child (age 6 years). Male:female ratio was 1:2. Different surgical procedures were used to treat the tumors. 11 lesions were treated by marginal osteotomy, 12 lesions by enucleation and curettage, 11 lesions by radical treatment (segmental or block resection). The follow-up period was 5-years.
RESULTS: The success rate was 73.5%. The Kaplan-Meier method was applied to examine the outcome of the treatment. Analysis showed a significant difference between 3 types of treatment (P=0.041). The median overall of complete healing was 51.34 months (95% CI: 43.12-59.55; SD 4.19). In details, the median overall of healing was 34.91 months (95% CI: 20.66-49.17; SD 7.27) in patients of group A; 56.36 months (95% CI: 42.47-68.52; SD 3.46) in patients of group B and 47.27 months (95% CI: 49.56-63.15; SD 3.46) in patients of group C.
CONCLUSIONS: Our results show that enucleation and curettage offer minimal benefit, and their use must be discouraged.


KEY WORDS: Myxoma - Surgical procedures, operative - Neoplams

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