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The calcifying epithelial odontogenic tumor: a case report.
Summary
This case report details a rare calcifying epithelial odontogenic tumor with unusual aggressiveness. Treatment involved mandible resection and reconstruction, complicated by infection but resulting in a successful outcome.
Area of Science:
- Oral pathology
- Surgical oncology
- Reconstructive surgery
Background:
- Calcifying epithelial odontogenic tumor (Pindborg tumor) is a rare benign odontogenic neoplasm.
- This report describes an unusually aggressive presentation of this tumor.
Observation:
- The patient presented with an aggressive calcifying epithelial odontogenic tumor of the left mandible.
- Treatment involved segmental resection of the affected mandible and immediate reconstruction.
Findings:
- A postoperative infection with Enterobacter cloacae necessitated a regrafting procedure.
- Long-term inter-maxillary fixation achieved adequate occlusion with minimal deviation.
Implications:
- This case highlights the potential for aggressive behavior in calcifying epithelial odontogenic tumors.
- Successful management requires aggressive surgical resection and meticulous reconstruction, even with complications.
- A 4-year follow-up confirms a favorable long-term outcome.