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Case Report
Calcifying epithelial odontogenic tumor with maxillary sinus extension: Case report and therapeutic review
1 Specialist in Oral and Maxillofacial Surgery and Traumatology, Department of Maxillofacial Surgery and Traumatology, Casa de Caridade Hospital São Paulo, Muriaé, MG, Brazil
2 Specialist in Oral and Maxillofacial Surgery and Traumatology, Department of Maxillofacial Surgery and Traumatology, Dental Specialties Centers-CEO Marília Guimarães Costa, Cataguases, MG, Brazil
3 Dental surgeon, Department of Stomatology, Faculty of Dentistry, FAMINAS University Center, Muriaé, MG, Brazil
4 Masters in Dental Prosthesis, Department of Oral Prosthodontics, Faculty of Dentistry, FAMINAS University Center, Muriaé, MG, Brazil
Address correspondence to:
Henrique Rocha Mazorchi Veronese
Rua Projetada C, n°81, CEP:36850-000, Antônio Prado de Minas, MG,
Brazil
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Article ID: 101330Z01AS2022
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How to cite this article
Silva AAM, Martins TA, Veronese HRM, Silva MI. Calcifying epithelial odontogenic tumor with maxillary sinus extension: Case report and therapeutic review. Int J Case Rep Images 2022;13(2):71–81.ABSTRACT
Calcifying epithelial odontogenic tumor (CEOT) is a rare benign neoplasm, with slow, localized, invasive, and asymptomatic growth. The involvement of the maxillary sinus by the neoplasm is rare, with its treatment controversial. The aim of this study was to describe the clinical, imaging, and therapeutic characteristics of a CEOT with maxillary sinus extension, as well as a literature review of therapeutic approaches and the prognoses obtained from cases of the same extension. In this case report, we report the case of a female patient, 49 years old, Caucasian, with mild asymmetry of the middle third of the face. Clinical and imaging examinations showed an intraosseous tumor in the posterior region of the left hemimaxillary, with imprecise limits and extension of 44×24×32 mm, compromising the alveolar process, maxillary posterior teeth, posterior hemipalatal region, left maxillary sinus, and orbital floor, associated with local expansion, tooth mobility, maxillary sinusopathy, and nasal obstruction. Calcifying epithelial odontogenic tumor diagnosis was obtained from incisional biopsy and histopathological examination. Surgical therapy of partial maxillectomy was performed from the Weber Ferguson Access with subsequent prosthetic rehabilitation. There were no postoperative complications. This case presented had satisfactory success with the therapy performed. The use of invasive therapies such as partial maxillectomies associated with transfacial approaches is an effective treatment for CEOT involving the maxillary sinus. Long-term follow-up is essential to avoid recurrences.
Keywords: Calcifying epithelial odontogenic tumor, Maxillary neoplasm, Odontogenic tumors, Pindborg tumor
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Acknowledgments
The authors thank the Department of Maxillofacial Surgery and Traumatology of the Casa de Caridade de Muriaé Hospital São Paulo, Muriaé-MG, the Department of Maxillofacial Surgery and Traumatology, Dental Specialties Centers-CEO Marília Guimarães Costa, Cataguases-MG, the FAMINAS University Center, and the entire team that participated and supported this work.
Author ContributionsAntônio Augusto de Melo da Silva - Substantial contributions to conception and design, Analysis of data, Drafting the article, Final approval of the version to be published
Tiago de Arruda Martins - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Henrique Rocha Mazorchi Veronese - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Michelle Inês e Silva - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Antônio Augusto de Melo da Silva et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
