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ISSN 1561-3194 (Electronic)

2016, Number 4

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Rev Ciencias Médicas 2016; 20 (4)

Mandibular reconstruction as a treatment for central granuloma of giant cells

Carmona FE, Villarreal TC, Martínez MY

Language: Spanish
References: 10
Page: 519-524
PDF size: 241.75 Kb.


ABSTRACT

Introduction: central granuloma of giant cell is a lesion that occupies 7% of benign tumors and it is exclusively found in the maxillaries, most commonly in the jaw. It more often occurs in women than in men and predominantly in the second and third decade of life. The radiographic features of central granuloma of giant cells are variable and can be confused with other lesions of the jaws. The central granuloma of giant cells can have an aggressive behavior which allows determining a choice for its treatment, including enucleation, curettage or resection in blocks of the lesion, as in the case described.
Case report: a patient with extensive tumor in the jaw diagnosed as a central granuloma of giant cells underwent surgical treatment with the removal of much of the lower jawbone providing its reconstruction with a titanium plate and obtaining good aesthetic and functional results. The relevance of this research states in the peculiarities of this tumor in our context and the size of the tumor; which is uncommon with complexity of a necessary surgical treatment, as well as the functional-aesthetic results obtained without evidence of relapses to date.
Conclusions: in this case resection in block was performed in addition to the reconstruction of surgical defect with titanium plate using extra-oral surgical approach. No serious complications occurred. The clinical and radiographic follow-up showed no relapses with a favorable evolution.


REFERENCES

  1. Castillo Camacho MG, Torres López JE, Méndez Mena R, Vázquez Sánchez MP. Guzmán Priego CG, Zapot Martínez JC. Tratamiento quirúrgico y reconstrucción mandibular en granuloma de células gigantes. Salud en Tabasco. [Internet]. 2012. [citado 2016 Mar 15]; 18(3): [Aprox. 4p.] Disponible en: http://www.redalyc.org/pdf/487/48725011006.pdf

  2. Duque Serna FL, Franco LM, Ardila Medina CM. Granuloma central de células gigantes: presentación de diez casos. Revista Archivo Médico de Camagüey [Internet]. 2012 [citado 2016 Mar 8]; 16(5): [Aprox. 6p.]. Disponible en: http://www.revistaamc.sld.cu/index.php/amc/article/view/478

  3. Aillón H, Gutiérrez A. Granuloma central de células gigantes del seno maxilar. A propósito de un caso. Rev. Act. Clin.Med [Internet]. 2012 [citado 2016 Mar 08]; 25(-): [Aprox. 12p.]. Disponible en: http://www.revistasbolivianas.org.bo /scielo.php?script=sci_arttext&pid=S2304-37682012001000009&lng=es

  4. Escobar Tarifa MD, Fernández Merma ME. Manejo quirúrgico de tumores de los maxilares. Rev. Act. Clin. Med [Internet]. 2012 [citado 2016 Mar 08]; 25(-): [Aprox. 11 p.]. Disponible en: http://www.revistasbolivianas.org.bo /scielo.php?script=sci_arttext&pid=S2304-37682012001000007&lng=es

  5. Orzechowski PR, Takashima M, Romeiro R, Santana Juliana B, Campos Márcia S. Granuloma Central de Células Gigantes: Relato de Caso Clínico. Rev. cir.traumatol. buco-maxilo-fac. [Internet]. 2012 Dec [citado 2016 Mar 08]; 12(4): [Aprox. 14p.]. Disponible en: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808 -52102012000400011&lng=en

  6. Durao Reis AP, Koch JT, Miranda M, Morosolli A. Aggressive central cell granuloma of the mandible. A case report. Braz. dent. Sci. [Internet]. 2015 [citado 2016 Mar 15]; 18(3): [Aprox. 8p.] Disponible en: http://www.ojs.fosjc.unesp.br/index.php/cob/article /download/1098/971

  7. Munzenmayer J, Tapia P, Zeballos J, Martínez A, Compan Á, Urra A, et al. Central giant cell granuloma of the mandibular condyle: Case-report. Rev. Clin. Periodoncia Implantol. Rehabil. Oral [Internet]. 2013 Ago [citado 2016 Mar 15]; 6(2): [Aprox. 6p.] Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0719-01072013000200007

  8. Portelles Massó AM, Heredia Pérez JM. Granuloma central de células gigantes. Rev Cubana Estomatol [Internet]. 2011 Mar [citado 2016 Mar 15]; 48(1): [Aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034 -75072011000100012&lng=es

  9. González Cardona Y, Rivera González MB. Presentación de un paciente con tumor óseo de células gigantes. CCM [Internet]. 2013 Dic [citado 2016 Mar 08]; 17(4): [Aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560 -43812013000400013&lng=es

  10. Rodríguez Tamayo SM, Vázquez Isla D, Pérez Vera L, Reyna Leyva AM. Presentación de una paciente con granuloma periférico de células gigantes. CCM [Internet]. 2015 Jun [citado 2016 Mar 15]; 19(2): [Aprox. 12p.] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812015000200024&lng=es




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