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2010 Apr-Jun; Vol 1, No 2:e5 |
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Juvenile Ossifying Fibroma of the Mandible: a Case Report J Oral Maxillofac Res 2010 (Apr-Jun);1(2):e5 doi:10.5037/jomr.2010.1205 |
Juvenile Ossifying Fibroma of the Mandible: a Case Report
1Department of Otorhinolaryngology and Head & Neck Surgery, Meram Medical Faculty, Selçuk University, Konya, Turkey
2Department of Otorhinolaryngology and Head & Neck Surgery, SSK Okmeydani Education Hospital, Istanbul, Turkey
3Department of Pathology, Meram Medical Faculty, Selçuk University, Konya, Turkey
Corresponding author:
Selçuk Üniversitesi, Meram Tıp Fakültesi
Kulak Burun Boğaz Hastalıkları Servisi
42090 Meram, Konya
Turkey
Phone: +90 332 2236646
Fax: +90 332 3236181
E-mail: baharkeles@gmail.com
ABSTRACT
Background: Fibro-osseous lesions of the jaws, including juvenile ossifying fibroma, pose diagnostic and therapeutic difficulties due to their clinical, radiological and histological variability. The aim of this study was to report the outcome of a 9 years old girl with diagnosed juvenile ossifying fibroma treatment.
Methods: A 9 years old girl presented with a 6 x 8 cm sized hard fixed tumour on right ramus and corpus of the mandible. On the radiological examination tumour showed an irregular but well bordered, unilocular and expansive lesion on the right corpus and ramus of the mandible. There was no teeth displacement or teeth root resorbtion. Microscopically, the tumour had trabeculae, fibrillary osteoid and woven bone. After the clinical, radiological (panoramic radiography, computed tomography and magnetic resonance imaging) and histologic analysis it was diagnosed juvenile ossifying fibroma. In the history of the patient there has been an acute lymphocytic leukaemia in the remission for 3 years.
Results: Because of large size of mandibular tumour, resultant expansion and destruction of mandibular cortex, the patient underwent right hemimandibulectomy using transmandibular approach. There was no recurrence or complications for two years follow-up.
Conclusions: Although juvenile ossifying fibroma is an uncommon clinical entity, its aggressive local behaviour and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment and, especially, follow-up the patient over the long-term.
J Oral Maxillofac Res 2010 (Apr-Jun);1(2):e5
doi:10.5037/jomr.2010.1205
Accepted for publication: 7 March 2010
Keywords: mandibular diseases; mandibular neoplasms; ossifying fibroma; oral surgery; lymphocytic leukemia.
To cite this article: Juvenile Ossifying Fibroma of the Mandible: a Case Report. J Oral Maxillofac Res 2010;1(2):e5 |
Received: 22 January 2010 | Accepted: 7 March 2010 | Published: 1 July 2010
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2010.