Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista odonto ciência (Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12204 |
Resumo: | Objective: This paper presents a clinical case of atypical of cementoblastoma in the posterior maxilla large, treated by resection through Weber-Fergusson transfacial access.Case description: a 21-year-old white man was referred to the Oral and Maxillofacial Department for the treatment of a lesion on the right side of the face that had appeared 4 years earlier. Intraoral examination revealed a hard swelling of normal mucosa color on the right side that involved the maxillary premolar and molar area. Radiography showed a radiopaque lesion surrounded by a radiolucent halo that involved the right premolars and molars. Computed tomography revealed an exophytic and endophytic growth pattern of the lesion, which invaded the maxillary sinus and extended superiorly into the orbital floor, medially into the nasal fossa and posteriorly into the pterygomaxillary space. Incisional biopsy was performed with the diagnosis of cementoblastoma. Definitive treatment consisted of resection of the tumor through a Weber-Ferguson approach to permit good visualization and complete removal of the tumor, thus minimizing the possibility of recurrence.Conclusion: The Weber-Ferguson approach provided good esthetic and functional results and there are no signs of recurrence or formation of an oroantral communication after 2 years of follow-up. |
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Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approachApresentação atípica de cementoblastoma, tratado por meio de acesso Weber-FergussonCementoblastomaSurgeryWeber-FergusonCementoblastomacirurgiaWeber-FergussonObjective: This paper presents a clinical case of atypical of cementoblastoma in the posterior maxilla large, treated by resection through Weber-Fergusson transfacial access.Case description: a 21-year-old white man was referred to the Oral and Maxillofacial Department for the treatment of a lesion on the right side of the face that had appeared 4 years earlier. Intraoral examination revealed a hard swelling of normal mucosa color on the right side that involved the maxillary premolar and molar area. Radiography showed a radiopaque lesion surrounded by a radiolucent halo that involved the right premolars and molars. Computed tomography revealed an exophytic and endophytic growth pattern of the lesion, which invaded the maxillary sinus and extended superiorly into the orbital floor, medially into the nasal fossa and posteriorly into the pterygomaxillary space. Incisional biopsy was performed with the diagnosis of cementoblastoma. Definitive treatment consisted of resection of the tumor through a Weber-Ferguson approach to permit good visualization and complete removal of the tumor, thus minimizing the possibility of recurrence.Conclusion: The Weber-Ferguson approach provided good esthetic and functional results and there are no signs of recurrence or formation of an oroantral communication after 2 years of follow-up.Objetivo: apresentar um caso atípico de cementoblastoma em maxila posterior de grandes dimensões, tratado por meio de ressecção através do acesso transfacial do tipo Weber-Fergusson. Descrição do caso: paciente de 21 anos, sexo masculino, leucoderma, compareceu ao setor de Cirurgia Oral e Maxilofacial para tratar lesão do lado direito da face com 4 anos de evolução. No exame intra -oral observou-se uma lesão endurecida a palpação, de coloração normal, localizada no lado direito da maxila envolvendo pré-molares e molares. Radiograficamente existia uma área radiolúcida com bordas radiopacas envolvendo pré-molares e molares. A tomografia computadorizada revelou um padrão de crescimento da lesão tanto exofítico quanto endofítico, com envolvimento do seio maxilar e estendendo-se para o assoalho orbital superiormente, fossa nasal medialmente e espaço pterigomaxilar posteriormente. Após biópsia com diagnóstico de cementoblastoma, o tratamento definitivo consistiu de ressecção através do acesso trasnfacial tipo Weber-Fergusson para permitir boa visualização e completa remoção do tumor, minimizando a possibilidade de recidiva. Conclusão: o acesso de Weber-Fergusson forneceu um bom resultado estético funcional e após 2 anos de acompanhamento não existem sinais de recidiva da lesão ou comunicação buco-sinusal.EDIPUCRS - Editora Universitária da PUCRS2015-07-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Articleapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/1220410.15448/1980-6523.2014.3.12204Revista Odonto Ciência; Vol. 29 No. 3 (2014); 96-100Revista Odonto Ciência; v. 29 n. 3 (2014); 96-1001980-65230102-946010.15448/1980-6523.2014.3reponame:Revista odonto ciência (Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12204/13371Copyright (c) 2015 Revista Odonto Ciência (Journal of Dental Science)info:eu-repo/semantics/openAccessAssis, GMCampos, GBPDa Silva, JSPGermano, ARPinto, LP2015-10-21T16:35:27Zoai:ojs.revistaseletronicas.pucrs.br:article/12204Revistahttps://revistaseletronicas.pucrs.br/ojs/index.php/foPRIhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/oai||odontociencia@pucrs.br1980-65230102-9460opendoar:2015-10-21T16:35:27Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach Apresentação atípica de cementoblastoma, tratado por meio de acesso Weber-Fergusson |
title |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach |
spellingShingle |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach Assis, GM Cementoblastoma Surgery Weber-Ferguson Cementoblastoma cirurgia Weber-Fergusson |
title_short |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach |
title_full |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach |
title_fullStr |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach |
title_full_unstemmed |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach |
title_sort |
Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach |
author |
Assis, GM |
author_facet |
Assis, GM Campos, GBP Da Silva, JSP Germano, AR Pinto, LP |
author_role |
author |
author2 |
Campos, GBP Da Silva, JSP Germano, AR Pinto, LP |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Assis, GM Campos, GBP Da Silva, JSP Germano, AR Pinto, LP |
dc.subject.por.fl_str_mv |
Cementoblastoma Surgery Weber-Ferguson Cementoblastoma cirurgia Weber-Fergusson |
topic |
Cementoblastoma Surgery Weber-Ferguson Cementoblastoma cirurgia Weber-Fergusson |
description |
Objective: This paper presents a clinical case of atypical of cementoblastoma in the posterior maxilla large, treated by resection through Weber-Fergusson transfacial access.Case description: a 21-year-old white man was referred to the Oral and Maxillofacial Department for the treatment of a lesion on the right side of the face that had appeared 4 years earlier. Intraoral examination revealed a hard swelling of normal mucosa color on the right side that involved the maxillary premolar and molar area. Radiography showed a radiopaque lesion surrounded by a radiolucent halo that involved the right premolars and molars. Computed tomography revealed an exophytic and endophytic growth pattern of the lesion, which invaded the maxillary sinus and extended superiorly into the orbital floor, medially into the nasal fossa and posteriorly into the pterygomaxillary space. Incisional biopsy was performed with the diagnosis of cementoblastoma. Definitive treatment consisted of resection of the tumor through a Weber-Ferguson approach to permit good visualization and complete removal of the tumor, thus minimizing the possibility of recurrence.Conclusion: The Weber-Ferguson approach provided good esthetic and functional results and there are no signs of recurrence or formation of an oroantral communication after 2 years of follow-up. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-07-21 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12204 10.15448/1980-6523.2014.3.12204 |
url |
https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12204 |
identifier_str_mv |
10.15448/1980-6523.2014.3.12204 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/12204/13371 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2015 Revista Odonto Ciência (Journal of Dental Science) info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2015 Revista Odonto Ciência (Journal of Dental Science) |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
EDIPUCRS - Editora Universitária da PUCRS |
publisher.none.fl_str_mv |
EDIPUCRS - Editora Universitária da PUCRS |
dc.source.none.fl_str_mv |
Revista Odonto Ciência; Vol. 29 No. 3 (2014); 96-100 Revista Odonto Ciência; v. 29 n. 3 (2014); 96-100 1980-6523 0102-9460 10.15448/1980-6523.2014.3 reponame:Revista odonto ciência (Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Revista odonto ciência (Online) |
collection |
Revista odonto ciência (Online) |
repository.name.fl_str_mv |
Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
||odontociencia@pucrs.br |
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