統合失調症患者に発生した下顎骨歯原性粘液腫の1例

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  • A case of schizophrenia with odontogenic myxoma of the mandible
  • トウゴウ シッチョウショウ カンジャ ニ ハッセイ シタ カガクコツシ ゲンセイ ネンエキ シュ ノ 1レイ

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We report a case of odontogenic myxoma in the mandible associated with schizophrenia. A 39-year-old female consulted us because of trauma to the orofacial region caused by drug-induced parkinsonism, and a myxoma was discovered incidentally on a radiographic examination. Radiographs of the lesion showed a monolocular radiolucency in the mandible. It was necessary for the myxoma to be removed, but the patient had to wait for surgery because of unstable symptoms of schizophrenia. After 3 months, the psychiatric symptoms gradually decreased, and social skills were rehabilitated. A tissue biopsy confirmed the diagnosis of myxoma. In March 2005, we performed a segmental mandibulectomy, and the mandible was reconstructed with an iliac bone graft and internal-maxillary fixation（ IMF） with elastics. Given our effort to build rapport with the patient preoperatively, there were few complaints about the IMF and pain during the perioperative period. In this patient, no recurrence has been observed as of 3 years 7 months after operation.

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