Gardner´s syndrome
Keywords:
osteoid osteoma, Gardner's syndrome, intestinal polyps, benign tumor.Abstract
Gardner's syndrome, a variant of familial adenomatous polyposis, is a dominantautosomal inherited disease characterized by multiple intestinal polyps together
with extra-intestinal manifestations including multiple osteomas, connective tissue
tumors, thyroid carcinomas, hypertrophied pigmented epithelium of the retina, and
also frequent retained supernumerary teeth and odontomas. The objective of this
paper was to describe the management of a patient with Gardner's syndrome at the
maxillofacial surgery service in the province of Artemisa. The clinical case of a male
patient aged 20 years, who went to the maxillofacial service on account of
increased volume of the facial area in three sites. The X-rays showed radiopaque
images characteristic of osteomas whereas rectosigmoidoscopy revealed intestinal
polyps. The osteomas were surgically removed under general anesthesia including
condylectomy on the left side. The histological-pathological diagnosis was osteoid
osteoma. One year after the surgical procedure, the clinical exam showed esthetic
and functional recovery and the radiographies disclosed good bone regeneration in
the mandibular angle where the biggest osteoma was found. The patient has
recovered very satisfactorily, with excellent oral opening.
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