Maxillary odontogenic myxoma presenting mainly on nasal manifestation: a unique CT appearance of ‘floating’ tooth

Authors

  • Najlaa Raihana Juhari Department of Otorhinolaryngology Head and Neck Surgery, University Malaya Medical Centre, Bangsar Kuala Lumpur, Malaysia
  • Chong Aun Wee Department of Otorhinolaryngology Head and Neck Surgery, University Malaya Medical Centre, Bangsar Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20205641

Keywords:

Maxillary odontogenic myxoma, Odontogenic myxoma, Myxoma, Maxillary cyst, Jaw cyst

Abstract

An odontogenic myxoma is a benign odontogenic tumor with locally aggressive behavior. It is relatively rare in the oral cavity. The diagnosis poses a challenge because its features overlap with those of other benign and malignant neoplasms. We present an unusual case of odontogenic myxoma with involvement of the maxilla extending to the maxillary sinus in a 17-year-old lady. A unique computed tomography (CT) appearance revealed a well circumscribed lytic lesion arising from the left maxilla causing expansion and thinning of the maxillary cortex. There is a discernible tooth with adjacent amorphous calcification in a round formation noted within the lesion. Biopsy revealed an odontogenic myxoma. The patient however did not undergo surgical excision as was not consented at the time of this write ups. This paper highlights the unique radiographic appearance of the pathology that has not been reported so far as well as to discuss its clinical significance.  

Author Biographies

Najlaa Raihana Juhari, Department of Otorhinolaryngology Head and Neck Surgery, University Malaya Medical Centre, Bangsar Kuala Lumpur, Malaysia

Otorhiniolaryngology Master Trainee, Department of Otorhinolaryngology Head and Neck Surgery UMMC

Chong Aun Wee, Department of Otorhinolaryngology Head and Neck Surgery, University Malaya Medical Centre, Bangsar Kuala Lumpur, Malaysia

Medical Lecturer Department of Otorhinolaryngology Head And Neck Surgery, University of Malaya Medical Centre

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Published

2020-12-24

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Section

Case Reports