Surgical Treatment of Central Giant Cells Lesions with Right Hemimaxillectomy

Abstract

Central giant cell lesion is an intraosseous lesion that can cause bone destruction of relevant proportions. Considered rare in the head and neck region, represents approximately 7% of all benign maxillary tumors, being more common in the mandible and women under 30 years of age. This paper aims to report a case of a female patient, 20-year-old who presented a central lesion of giant cells in the anterior region of the maxilla. Clinically, was well delimited located between the canine and the right upper premolar, painless and hard on palpation, confirmed with radiography. With characteristics of a non-aggressive lesion, the treatment of choice was conservative surgery and after a year of postoperative control relapsed aggressively and the patient underwent a partial right hemimaxillectomy, which good prognosis. Therefore, it can be seen that surgical resection associated with clinical and radiographic follow-up is the most suitable for the control of these injuries.