BackgroundFibro-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.MethodsA 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.ResultsBecause 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.ConclusionsAlthough 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.
Cases with traumatic CSF leakage pose a higher risk of meningitis than the cases with spontaneous CSF leakage. Topical application of fluorescein is highly specific and sensitive in identifying preoperative, intraoperative, and postoperative CSF leakage. It is a simple, quick, and sensitive technique. The surgeon should be vigilant for multiple defects.
Our study results show that radiofrequency thermal ablation application for the treatment of isolated inferior concha hypertrophy has no effect on nasal mucociliary clearance.
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