Oral and Maxillofacial Surgery, King George Medical University, Lucknow, Uttar Pradesh, India
Oral and Maxillofacial Surgery, King George Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2023 May 5;16(5):e254948. doi: 10.1136/bcr-2023-254948.
A young female patient reported to the department of oral and maxillofacial surgery with complaint of asymptomatic swelling in left posterior region of lower jaw since 6 months. Complete intraoral and extraoral clinical examination was done. Routine radiographical investigations were advised. Based on clinical and radiographical findings she was provisionally diagnosed with odontoma of left mandible. It was a considerably giant mass with thinned out both cortical plates and the inferior border of the mandible. Although we assumed high risk of fracture of the mandible, successful surgical excision of the tumour was done using a minimally invasive intraoral approach and by sectioning the odontoma, sparing cortical bones. We managed to remove the whole of tumour without fracturing the mandible. Final histopathological report confirmed the initial diagnosis of complex composite odontoma. Patient is under regular follow-up.
一位年轻女性患者因左下颚后部无症状肿胀 6 个月到口腔颌面外科就诊。完成了全面的口腔内外临床检查。建议进行常规影像学检查。根据临床和影像学检查结果，她被初步诊断为左下颌骨牙瘤。这是一个相当大的肿块，双侧下颌骨皮质板和下缘均变薄。尽管我们预计下颌骨骨折的风险很高，但仍成功地通过微创口腔入路和分块切除牙瘤，保留了皮质骨，完成了肿瘤的切除。我们成功地切除了整个肿瘤，而没有使下颌骨骨折。最终的组织病理学报告证实了最初的复杂复合型牙瘤的诊断。患者正在定期随访中。
