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

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

Abstract


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.


Keywords


Cementoblastoma, Surgery, Weber-Ferguson

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DOI: http://dx.doi.org/10.15448/1980-6523.2014.3.12204

e-ISSN: 1980-6523

ISSN-L: 0102-9460

 

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