Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 64–70
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SURGICAL SUCCESS OF OVINE FORESTOMACH MATRIX IN THE MANAGEMENT OF PLEOMORPHIC ADENOMA OF HARD PALATE -CASE REPORT

Elengkumaran Sankaran*

Received: 2026-04-08 · Published: 2025-05-15

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
SURGICAL SUCCESS OF OVINE FORESTOMACH MATRIX IN THE MANAGEMENT OF PLEOMORPHIC ADENOMA OF HARD PALATE -CASE REPORT
Author
Elengkumaran Sankaran
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-05-15
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.4-64

Abstract

Pleomorphic adenoma is one of the common benign salivary gland tumors, occurring in the hard palate due to a high density of minor salivary glands in this region. Surgical excision remains the mainstay of management; however, defect site reconstruction following tumor excision poses a considerable challenge. The current case report presents the first known use of the ovine forestomach matrix (OFM) for reconstructing the huge defect post excision. A 40- year-old patient male presented with a progressively enlarging, painless swelling in the hard palate. Clinical examination revealed a well-demarcated, fluctuant, non-tender lesion, crossing the midline, with a provisional diagnosis of mucocele. Surgical excision was performed with wide margins to prevent risk of recurrence. The OFM was employed as a biologic scaffold to facilitate wound healing and tissue regeneration. The patient demonstrated exceptional healing with full mucosal coverage and no signs of infection or necrosis at the nine-month follow-up. The successful integration of OFM in this case underscores its potential as a novel alternative adjuvant for reconstructing oral and maxillofacial defects. This case sets a precedent encouraging further research to elucidate its long-term efficacy and expand its application in maxillofacial surgical interventions.
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