Among odontogenic tumors, odontoma is the most frequent. The common treatment contemplates a conservative approach. While this procedure is generally accepted and tolerated, some difficulties may be encountered in the case of pediatric patients. Indeed, negative feelings of tension, apprehension, nervousness, and fear are likely to occur. The present report is aimed at discussing the management of a compound odontoma in a pediatric patient under anxiolysis with diazepam on an outpatient basis. The surgery was carried out without complications, and the discharge was completed safely. Oral premedication with diazepam should be considered to avoid more invasive sedation procedures in anxious pediatric patients.
Introduction.De novopleomorphic adenomas in the parapharyngeal space are rare and cause difficulties in its surgical management. We report the largestde novopleomorphic adenoma arising from the parapharyngeal space and discuss its surgical management.Presentation of Case. A 34-year-old male presented with a giantde novopleomorphic adenoma arising from the parapharyngeal space, which was initially misdiagnosed as an impacted wisdom tooth. Measuring8.4×6.5×3.9 cm in size and weighing 87.3 g, this is the largest primary salivary gland tumour arisingde novofrom the parapharyngeal space reported in the literature, presenting challenges in its surgical management.Discussion. Parapharyngeal space tumours cause nonspecific symptoms and may be difficult to diagnose, which can allow the tumours to become very large and cause obstructive and compressive symptoms in an anatomically difficult area. A combined trans-cervical and trans-oral approach can be used to safely perform anen blocresection.Conclusion. We report the diagnosis and surgical management of the largest pleomorphic adenoma arisingde novofrom the parapharyngeal space reported in the literature.
Anxiolysis in the Surgical Management of a Compound Odontoma in a Pediatric Patient