A Case of Compound Odontoma in the Maxillary Sinus of a Child

  • KANEKO KEIKO
    Department of Oral Sciences, Matsumoto Dental University Hospital
  • UCHIDA KEIICHI
    Department of Collaborative oral health, Matsumoto Dental University Hospital
  • OCHIAI TAKANAGA
    Laboratory of Surgical Pathology, Matsumoto Dental University Hospital
  • SUGINO NORIYUKI
    Department of Oral and maxillofacial Radiology, School of Dentistry, Matsumoto Dental University
  • KUROIWA HIROKO
    Department of Oral and maxillofacial Radiology, School of Dentistry, Matsumoto Dental University
  • YAMADA SHINICHIRO
    Department of Oral and maxillofacial Radiology, School of Dentistry, Matsumoto Dental University
  • OKI EMI
    Department of Oral Sciences, Matsumoto Dental University Hospital
  • TAKAYA TATSUO
    Department of Oral Sciences, Matsumoto Dental University Hospital
  • TOMIDA MIHOKO
    Department of Oral Sciences, Matsumoto Dental University Hospital
  • KUROIWA AKIHIRO
    Department of Oral Sciences, Matsumoto Dental University Hospital
  • TAGUCHI AKIRA
    Department of Oral and maxillofacial Radiology, School of Dentistry, Matsumoto Dental University
  • YOSHIZAWA MICHIKO
    Department of Oral and Maxillofacial Surgery, School of Dentistry Matsumoto Dental University

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Other Title
  • 小児の上顎洞に進展した集合性歯牙腫の1例

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Abstract

Odontoma is a relatively common disease among odontogenic tumors. Odontoma is classified into compound odontoma and complex odontoma, and is often accidentally detected by X-ray examination for delayed eruption of teeth in the first and second decades of life. We report a case of compound odontoma with a maximum diameter of over 30mm spreading into the maxillary sinus. A 3-year-old boy was referred for detailed examination of a radiopaque lesion in the left maxilla. Painless swelling of the maxillary left deciduous molar region was found at the first visit, and CT examination revealed numerous tooth-like high-density structures within the left maxillary sinus (CT number 2000 to 2680HU). A diagnosis of compound odontoma was made, and tumor resection was performed under general anesthesia. In a literature review we found 16 cases of Japanese patients with an odontoma having a maximum diameter of over 30mm spreading into the maxillary sinus. Of those, 15 cases were complex odontoma and one case was a compound odontoma (our case). These findings suggest that the present case is rare because a relatively large compound odontoma spread into the maxillary sinus.

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