A LARGE MASS IN THE MANDIBLE IN AN EIGHT YEAR OLD CHILD

Yıl 2017, Cilt: 4 Sayı: 2, 101 - 105, 28.07.2017

Gökhan Gürler , Serdar Yılmaz Çağrı Delilbaşı , Merva Soluk Tekkesin

https://doi.org/10.15311/1441.295352

Cited By: 1

Öz

Facial
swellings in children may commonly arise from infection, jaw cysts or
benign-malign tumors. Differential diagnosis should be handled considering
onset of the symptoms, growth rate and child’s age. Fibro-osseous lesions are a
group of lesions characterized by fibrosis and contain varying amounts of
calcified tissue resembling bone, cement or both. Such lesions may cause
enlargement and swelling in the jaws. Juvenile ossifying fibroma (JOF) is one
of the fibro-osseous lesions usually seen in children and adolescents. It has
an aggressive character with a high recurrence rate. Mandible is more affected than
maxilla and psammomatoid type is more common than trabecular type
histologically. Bone resection is generally preferred for the treatment due to
nature of the tumor.

Here we report a rare case of trabecular type JOF
located in the mandible of an 8-year-old child treated by conservative
surgery. 

Anahtar Kelimeler

Fibro-osseous lesion, juvenil ossifying fibroma, trabecular type, conservative surgery

A LARGE MASS IN THE MANDIBLE IN AN EIGHT YEAR OLD CHILD

Öz

Facial
swellings in children may commonly arise from infection, jaw cysts or
benign-malign tumors. Differential diagnosis should be handled considering
onset of the symptoms, growth rate and child’s age. Fibro-osseous lesions are a
group of lesions characterized by fibrosis and contain varying amounts of
calcified tissue resembling bone, cement or both. Such lesions may cause
enlargement and swelling in the jaws. Juvenile ossifying fibroma (JOF) is one
of the fibro-osseous lesions usually seen in children and adolescents. It has
an aggressive character with a high recurrence rate. Mandible is more affected than
maxilla and psammomatoid type is more common than trabecular type
histologically. Bone resection is generally preferred for the treatment due to
nature of the tumor.

Here we report a rare case of trabecular type JOF
located in the mandible of an 8-year-old child treated by conservative
surgery. 

Key Words:
Fibro-osseous lesion, juvenil ossifying fibroma, trabecular type, conservative
surgery

Anahtar Kelimeler

Fibro-osseous lesion, juvenil ossifying fibroma, trabecular type, conservative surgery

Kaynakça

• Abuzinada S, Alyamani A. 2010. Management of juvenile ossifying fibroma in the maxilla and mandible. J Maxillofac Oral Surg, 9, 91-5.
• Antonoglou GN, Sándor GK, Koidou VP, Papageorgiou SN 2014. Non-syndromic and syndromic keratocystic odontogenic tumors: systematic review and meta-analysis of recurrences. J Craniomaxillofac Surg, 42, 364-71.
• El-Mofty S, 2002. Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: two distinct clinicopathologic entities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 93, 296-304.
• Guttikonda V, Taneeru S, Gaddipati R, Madala J 2013. A massive sinonasal psammomatoid variant of juvenile ossifying fibroma: Report of a rare entity. J Oral Maxillofac Pathol, 17, 302-5.
• Han J, Hu L, Zhang C, Yang X, Tian Z, Wang Y, Zhu L, Yang C, Sun J, Zhang C, Li J, Xu L 2016. Juvenile ossifying fibroma of the jaw: a retrospective study of 15 cases. Int J Oral Maxillofac Surg. Mar, 45, 368-76
• Neville BW, Damn DD, Allen CM, Bouquot JE 2002. Oral and Maxillofacial Pathology, 2 nd ed. Philadelphia, WB Saunders;. p. 564-5
• Papadaki ME, Troulis MJ, Kaban LB 2005. Advances in diagnosis and management of fibro-osseous lesions. Oral Maxillofac Surg Clin North Am, 17, 415-34.
• Patil RS, Chakravarthy C, Sunder S, Shekar R 2013. Psammomatoid type juvenile ossifying fibroma of mandible. Ann Maxillofac Surg, 3, 100-3.
• Phattarataratip E, Pholjaroen C, Tiranon P 2014. A Clinicopathologic Analysis of 207 Cases of Benign Fibro-Osseous Lesions of the Jaws. Int J Surg Pathol, 22, 326-33
• Johnson LC, Yousefi M, Vinh TN, Heffner DK, Hyams VJ, Hartman KS 1991. Juvenile active ossifying fibroma. Its nature, dynamics and origin. Acta Otolaryngol Suppl, 488, 1-40.
• Shields JA, Peyster RG, Handler SD, Augsburger JJ, Kapustiak J 1985. Massive juvenile ossifying fibroma of maxillary sinus with orbital involvement. Br J Ophthalmol, 69, 392-5.
• M Solomon, S Khandelwal, A Raghu, S Carnelio. Psammomatoid Juvenile Ossifying Fibroma of the Mandible – A Histochemical insight!. The Internet Journal of Dental Science. 2008 Volume 7 Number 2.
• Slootweg PJ, Panders AK, Koopmans R, Nikkels PGJ. Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med; 1994; 23: 385-8
• Smith SF, Newman L, Walker DM, Papadopoulos H Juvenile aggressive psammomatoid ossifying fibroma: an interesting, challenging, and unusual case report and review of the literature. J Oral Maxillofac Surg. 2009;67(1):200-6.