Characteristic yet unusual presentation of an odontogenic myxoma in the anterior mandible

Abstract

Odontogenic myxoma (OM) is a rare benign odontogenic tumor characterized by stellate and spindle-shaped cells dispersed in an abundant myxoid extracellular matrix. The bony invasion by the tumor imparts a characteristic ‘soap bubble’, ‘honeycomb’, or ‘tennis racquet’ radiographic appearance to the lesion. The decision of adopting a conservative or radical approach also depends on various factors such as location, size, and duration of the lesion, and age, gender, and expectations of the patient. Therefore, adequate treatment planning is crucial for the management of cases of OM and varies on an individual basis. The present case report described the management of a case of unusually large OM occurring in a 31-year-old Indian female in the mandibular anterior region crossing the midline.