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Objective: and rationale: Odontogenic myxoma is an uncommon odontogenic tumor with locally aggressive behavior. The clinicopathological studies of odontogenic myxoma in Asian countries are very limited and only few studies have investigated the immunohistochemical profiles of the tumor. This study aims to investigate the clinicopathological and immunohistochemical features of odontogenic myxoma at the Faculty of Dentistry, Mahidol University over a 15-year period.

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Our aim is to present two cases of infantile sinonasal tract myxoma with orbital involvement and conduct a comprehensive literature review of the topic. We aim to provide a summary of the presentation of infantile sinonasal tract myxomas to effectively aid clinicians in considering this rare entity as a potential diagnosis. We present a case series and a retrospective review of the published literature in the English language.

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Article Synopsis
  • Odontogenic myxoma is a rare and aggressive benign tumor found in jaw areas, with no known molecular mechanisms or diagnostic markers currently.
  • The study examined DNA methylation and copy number variations in 16 odontogenic myxomas to uncover potential new diagnostic signatures using advanced genomic techniques.
  • Findings revealed a unique DNA methylation profile and recurrent chromosomal gains in the tumors, suggesting these genetic characteristics could aid in diagnosis, but further research is necessary to understand their underlying genetic causes.
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Article Synopsis
  • Sinonasal myxomas (SNMs) are a specific type of tumor found in the paranasal sinuses and maxillae of infants, as seen in a case involving a 15-month-old.
  • After initial surgery, the patient's tumor recurred, but a second surgery using marginal excision was successful with no further recurrences.
  • SNMs have unique clinical and histological traits, and their positive β-catenin staining, unlike odontogenic myxomas which are negative for it, suggests they could be classified as a separate disease, prompting potential changes in treatment approaches.
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Conservative Management of Odontogenic Fibromyxoma of the Maxilla: A Case Report.

Cureus

May 2024

Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Odontogenic fibromyxoma typically presents as painless swelling in the jaw, and clinically, it grows slowly, becoming benign and asymptomatic. It causes the cortical plates to expand gradually, which leads to mobility and drifting of the teeth. Root resorption is also common.

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