Plasma cell granuloma of the jaw and the infratemporal fossa: a clinical case

Publication date: Available online 5 August 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): A. Vahedi, A. Moya–Plana, S. Guyot, G. Touré
IntroductionPlasma cell granuloma or inflammatory pseudotumour (IPT) is diagnosed by a process of elimination. The precise etiology is unknown, although it can occur following a bout of periodontal infection. Our observation presents the various stages of progression for this ailment.ObservationA 49-year-old female patient without any significant prior medical history presented with a recurrent periodontal abscess accompanied by progressive and severe destruction of the right maxilla. There was invasion of the infratemporal fossa and very tight trismus. Histological examination concluded it was a reactive plasma cell granuloma.DiscussionIPT is an entity recognized by the World Health Organization (WHO). A triggering infectious or inflammatory factor is often present. In the maxilla, progression is very aggressive. Treatment relies on corticotherapy, with or without radiotherapy, and administration of cyclosporine.



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