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

GM Assis, GBP Campos, JSP Da Silva, AR Germano, LP Pinto


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.


Cementoblastoma, Surgery, Weber-Ferguson

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Regezi JA, Kerr DA, Courtney RM. Odontogenic tumors: analysis of 706 cases. J Oral Maxillofac Surg. 1978;36:771-778.

Taylor MA, Montes LC, Sandoval CS, Robertson PJ, Rivera RGLM, Meneses-Garcia A. Odontogenic tumors in Mexico: a collaborative retrospective study of 349 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1997; 84:672-675.

Lu Y, Xuan M, Takata T, Wang C, He Z, Zhou Z, et al. Odontogenic tumors. A demographic study of 759 cases in a Chinese population. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1998;86:707-714.

Ochsenius G, Ortega A, Godoy L, Penafiel C, Escobar E. Odontogenic tumors in Chile: a study of 362 cases. J Oral Pathol Med. 2002;31:415 420.

Neville WB, Damm DD, Allen CM, Bouquot JE. Oral Maxillofac Pathol. 2nd ed. Rio de Janeiro: Guanabara Koogan; 2004.

Ulmansky M, Hansenb EH, Praetorius F, Haque MF. Benign cementoblastoma: A review and five new cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1994;77:48-55.

Mader CL, Wendelburg L. Benign cementoblastoma. J Amer Dent Assoc. 1979;99:990-992.

Verbin RS, Appel BN. Odontogenic Tumors. In: Surgical pathology of the head and neck. Barnes L, (editor). 2nd ed. New York: Marcel Dekker; 2001. p. 1603-6.

Brannon RB, Fowler CB, Carpenter WM, Corio RL. Cementoblastoma: an innocuous neoplasm? A clinicopathologic study of 44 cases and review of the literature with special emphasis on recurrence. Oral Surg Oral Med

Oral Pathol Oral Radiol Endodontol. 2002;93:311-320.

Williams TP. Aggressive odontogenic cysts and tumors. Oral Maxillofac Surg Clin N Amer. 1997;9:329.

Eley KA, Smith SRW. The nasolabial approach: a potential alternative to the lip-splitting incision for maxillectomy. British J Oral Maxillofac Surg.


Goyal A, Tyagi I, Jain S, Syal R, Singh AP, Kapila R. Transconjunctival incision for total maxillectomy: an alternative for subciliary incision. British J Oral Maxillofac Surg. 2011;49: 442-446.

Santos JN, Vieira TSLS, Filho DMG, Vasconcelos SJA, Azevedo RA.

Fibrous dysplasia: osteoplasty using the Weber-Ferguson approach. A

case report. Braz J Oral Maxillofac Surg. 2010;10:73-80.

Ellis III E, Zide MF. Surgical Approach to the Facial Skeleton. 2nd ed. São Paulo. Ed. Santos; 2006.

Osborne JE, Clayton M, Fenwick JD. The Leeds modified Weber-Ferguson incision. J of Laryngol Otol. 1987;101:465-466.


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