Murphy Colm, O'Connell John Edward, Cotter Edward, Kearns Gerard
Department of Oral and Maxillofacial Surgery, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.
Hermitage Medical Clinic, Suite 10, Old Lucan Road, Dublin 20, Ireland.
Case Rep Pediatr. 2014;2014:963962. doi: 10.1155/2014/963962. Epub 2014 Dec 14.
We present the unusual case of a large complex odontoma erupting in the maxilla. Odontomas are benign developmental tumours of odontogenic origin. They are characterized by slow growth and nonaggressive behaviour. Complex odontomas, which erupt, are rare. They are usually asymptomatic and are identified on routine radiograph but may present with erosion into the oral cavity with subsequent cellulitis and facial asymmetry. This present paper describes the presentation and management of an erupting complex odontoma, occupying the maxillary sinus with extension to the infraorbital rim. We also discuss various surgical approaches used to access this anatomic area.
我们报告了一例罕见的上颌骨巨大复合性牙瘤病例。牙瘤是牙源性良性发育性肿瘤。其特点是生长缓慢且无侵袭性。已萌出的复合性牙瘤较为罕见。它们通常无症状，在常规X线片上被发现，但也可能表现为侵蚀至口腔，随后引发蜂窝织炎和面部不对称。本文描述了一例已萌出的、占据上颌窦并延伸至眶下缘的复合性牙瘤的临床表现及治疗。我们还讨论了用于进入该解剖区域的各种手术方法。
