Surgical Management of Aggressive Central Giant Cell Granuloma of Maxilla through Le Fort I Access Osteotomy
G V Reddy, G Siva Prasad Reddy, N V S Sekhar Reddy, Aswin Kumar
Department of Oral and Maxillofacial Surgery, Panineeya Institute of Dental Sciences, Hyderabad, Department Oral Medicine and Radiology, MNR Dental College and Hospital, Sangareddy, Andhra Pradesh, India
Date of Submission: 08-Mar-2012, Date of Acceptance: 19-Mar-2012, Date of Web Publication: 23-May-2012.
Giant cell granuloma (GCG) is an uncommon bony lesion in the head and neck region, most commonly affecting the maxilla and mandible and has a female predilection. The clinical behavior of central GCG ranges from a slowly growing asymptomatic swelling to an aggressive lesion. The clinical, radiological, histological features and management of an aggressive GCG of maxilla in an 18-year-old female patient are described and discussed. It is emphasized that surgery is the traditional and still the most accepted treatment for GCG. Le Fort I osteotomy has been advocated as one of the access osteotomy for the surgical management of aggressive and extensive GCG involving the maxilla. The postoperative morbidity and recurrence have been discussed.
Keywords: Giant Cell Granuloma, Le Fort I Access Osteotomy, Maxillary Sinus Tumor
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