OSTEOSARCOMA OF THE ANTERIOR MAXILLA: CONTRIBUTION OF THE DENTAL TEAM IN THE DIAGNOSIS AND IMMEDIATE REHABILITATION

Tumors of jaw are among the most uncommon of all types of neoplasms. Osteosarcoma of the jaw represents a distinct group of lesions from the common type often occurring in long bones, which rarely affects the anterior maxilla. A 43-year-old male patient with a previous history of dental losses in th...

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Published inOral surgery, oral medicine, oral pathology and oral radiology Vol. 129; no. 1; p. e108
Main Authors PARAHYBA, CLAUDIA JOFFILY, SILVA, WANESSA MIRANDA E, BRUNO, JULIA, VILELA, RAFAEL SARLO, FONSECA, FELIPE PAIVA, FREGNANI, EDUARDO RODRIGUES
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.01.2020
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Summary:Tumors of jaw are among the most uncommon of all types of neoplasms. Osteosarcoma of the jaw represents a distinct group of lesions from the common type often occurring in long bones, which rarely affects the anterior maxilla. A 43-year-old male patient with a previous history of dental losses in the anterior maxilla region and biopsy results without conclusive diagnosis for 18 months attended the oral medicine service complaining of an asymptomatic hard nodule in the anterior maxilla. An incisional biopsy was performed, and diagnosis was chondroblast osteosarcoma. The patient was referred to the oncologist and head and neck surgeon, received 3 cycles of chemotherapy with cisplatin and doxorubicin, maintained stable disease, and then underwent conservative maxillectomy. The surgical planning included the collaboration of the dental team, with installation of immediate removable maxillary obturator prostheses, allowing the patient more comfort postoperatively and improving in speech, swallowing, and esthetics.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2019.06.462