Gabriel Haddad Kalluf, Gustavo Lara Achoa*, Sergio Vitorino Cardoso and Augusto Ricardo Andrighetto
Odontogenic myxoma is a slow growth, locally aggressive benign tumor of ectomesenchymal origin. Although rare and unencapsulated, commonly shows similar characteristics to other disorders of the jaws. Clinically it can be asymptomatic, and affect dental and nervous structures. The diagnosis is based on imaging and histopathological examinations. Treatment has no surgical guidelines and many varied approaches, based on the lesion size and location.
The recommended treatments, as surgical resections with safety margin and curettage associated with alternative methods, aim to minimize relapse. There is no predictive prognosis for this tumor and each case must be individually evaluated. This paper aims to exemplify important aspects to be considered in guiding the therapeutic approach, reporting two cases in adolescent patients. The first case was treated by resection aided by a custom 3Dprinted osteotomy guide, while the other underwent curettage with cryotherapy, and no recurrence evidence in 4 and 5-year follow-up, respectively.
