Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach

Detalhes bibliográficos
Autor(a) principal: Assis, GM
Data de Publicação: 2015
Outros Autores: Campos, GBP, Da Silva, JSP, Germano, AR, Pinto, LP
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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spelling 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
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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
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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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