TITLE:
Management of a Giant Myxoma of the Oral Floor at Cocody Teaching Hospital: About a Case
AUTHORS:
Konan René Kouakou, Mamadou Atigou Baldé, Ahi Morel Chapo, Kader Morel Diarra, Aké Jonathan Lucien Yapo, Amadou Lamarana Diallo, Brice Anderson Youmbi, Koffi Laurent Boka, Konan Marc Koffi, Bakary Ouattara, Raphiou Diallo
KEYWORDS:
Myxoma, Floor of Mouth, Jaws, Tumor, Histology
JOURNAL NAME:
Open Journal of Stomatology,
Vol.15 No.3,
March
27,
2025
ABSTRACT: Introduction: Myxoma of the floor of the mouth is a rare variety of myxomas of the jaws belonging to the large group of benign tumors of the jaws. Myxoma of the floor of the mouth is a soft tissue myxoma which is opposed to intraosseous myxoma in the maxillofacial sphere. This is a rare tumor whose characteristics are not perfectly defined. We report a case of giant myxoma of the floor of the mouth whose location and size are atypical, posing a diagnostic and therapeutic problem. The aim of this article is to contribute to the knowledge of myxoma by describing the clinical appearance and the therapeutic approach of a giant myxoma of the floor of the mouth. Observation: A 28-year-old patient, a carpenter, residing in a rural area consulted in March 2024 for a large oral mass which had evolved over the past 22 years, causing eating and speaking difficulties. The clinical examination and the maxillofacial scan revealed a large, benign-looking tumor of the floor of the mouth, filling the oral cavity. Tumor excision was performed after intubation by tracheotomy. A histological examination of the surgical specimen revealed a myxoma. The patient also benefited from a dental prosthesis and functional manducative rehabilitation. Postoperative progress was satisfactory after 6 months. Discussion: Giant myxoma of the floor of the mouth is a rare benign tumor whose etiopathogenesis is still controversial. The diagnosis is based on the histological examination of the surgical specimen. Its management requires multidisciplinarity.