Osman Shahd, Hamouda Ghofran M, Eltohami Yousif I
Faculty of dentistry, University of Khartoum, Khartoum, Sudan.
Faculty of Dentistry, University of Alneelain, Khartoum, Sudan.
J Maxillofac Oral Surg. 2024 Apr;23(2):301-307. doi: 10.1007/s12663-020-01497-7. Epub 2021 Jan 3.
Odontogenic myxoma is one of the benign mesenchymal odontogenic tumours with aggressive behaviour and showed slow and asymptomatic expansion, the second until the third decade of life is the most targeted age group. With high female preponderance, about the management, surgical management is the only option concerning this odontogenic pathology with a variety of treatment options. This study aims to analyse a series of 37 patients with odontogenic myxoma treated in a single institution.
In total, 37 patients with odontogenic myxoma were treated at KTDH in Sudan and were retrospectively reviewed. With the analysis of medical records of all patients diagnosed with odontogenic myxoma and the related variables, data were analysed using the SPSS statistical program (version 23).
Most of the cases were females (26 patients 70.27%), and males were about (11 patients 29.73%). In most of the cases maxilla was affected more than the mandible (25 cases, 67.57%) mostly in its posterior segment (32 cases, 86.49). The most age group affected was the group of cases (0-20) which were about 18 cases (48.65%). In total, 35 of the cases noticed swelling (94.59%), while 14 noticed tooth mobility (37.84%) and paraesthesia was a positive finding in just one case (2.70%). In total, 12 patients (32.43%) had a positive history of tooth extraction related to the lesion, and recurrence was positive in (64, 86%).
Odontogenic myxoma is locally aggressive. There is no gold standard protocol for surgical treatment so choosing the most suitable and reliable treatment option relay on the operator taking into consideration the characteristic of each case and the recurrence rate with the associated postoperative impairments.
牙源性黏液瘤是一种具有侵袭性的良性间叶性牙源性肿瘤，表现为缓慢且无症状的膨胀性生长，第二至第三个十年的生命阶段是最常受累的年龄组。女性患病率高，关于其治疗，手术治疗是针对这种牙源性病变的唯一选择，且有多种治疗方案。本研究旨在分析在单一机构接受治疗的37例牙源性黏液瘤患者。
在苏丹的KTDH共治疗了37例牙源性黏液瘤患者，并进行回顾性分析。通过分析所有诊断为牙源性黏液瘤患者的病历及相关变量，使用SPSS统计程序（版本23）进行数据分析。
大多数病例为女性（26例，70.27%），男性约为（11例，29.73%）。在大多数病例中，上颌比下颌更易受累（25例，67.57%），主要累及后段（32例，86.49%）。受影响最严重的年龄组是（0 - 20岁）组，约18例（48.65%）。总共有35例出现肿胀（94.59%），14例出现牙齿松动（37.84%），仅1例出现感觉异常（2.70%）。总共有12例患者（32.43%）有与病变相关的拔牙史，复发率为（64, 86%）。
牙源性黏液瘤具有局部侵袭性。手术治疗尚无金标准方案，因此选择最合适和可靠的治疗方案取决于操作者，需考虑每个病例的特点以及复发率和相关的术后损伤情况。
