Atypical presentation of a cementoblastoma treated through a Weber-Ferguson approach
DOI:
https://doi.org/10.15448/1980-6523.2014.3.12204Keywords:
Cementoblastoma, Surgery, Weber-FergusonAbstract
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.
References
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.
;50:e6-e8.
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.
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
