Management and Treatment Outcomes of Maxillofacial Fibro-osseous Lesions: A Retrospective Study

Kumar, K. Narayan; Kishore, Prem; Mohan, A. P.; Venkatesh, V.; Kumar, B. Pavan; Gandla, Divya

doi:10.1007/s12663-014-0726-5

Cited by 10 publications

(11 citation statements)

References 20 publications

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“…3,12,24,25 Despite the apparent bone fragility that supposedly results from fibrous dysplasia, which could contraindicate or make surgery more difficult, whether lesion resection or plasty, a low rate of surgical complications can be observed. 2,3 There is no consensus in the literature as for lesion growth recurrence, where some studies have shown recurrence in up to 50% of the cases, with a mean time of 6.6 years. Other studies do not show recurrence in a mean 9-year follow-up period.…”

Section: Discussionmentioning

confidence: 99%

“…Fibroosseous lesions comprise a group of benign pathological entities associated with disordered collagen deposition and immature matrix ossification 12. These lesions can be classified into three types: fibrous dysplasia, bone dysplasia, and ossifying fibroma.…”

mentioning

confidence: 99%

“…These lesions can be classified into three types: fibrous dysplasia, bone dysplasia, and ossifying fibroma. They have similar histological aspects and are often confused; however, they also have different clinical behaviors and their development can be differentiated by radiographic or tomographic follow-up 1234…”

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confidence: 99%

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Surgical Treatment of Fibroosseous Lesion in Young Patient with Reduced Mouth Opening

Carvalho

Torriani

Post

et al. 2018

Craniomaxillofacial Trauma & Reconstruction

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Fibrous dysplasia is a benign fibroosseous disorder that can affect the maxillary bones, causing aesthetic deformity and functional impairment. This article reports the case of a 13-year-old male patient at the time of diagnosis. The patient showed increased facial volume with relevant asymmetry, having reported the onset of the condition 12 months before. Upon examination, the patient presented an 8-mm mouth opening and an acute inflammatory process associated with tooth 37 pericoronal hood. Upon imaging exam, exuberant bone growth in the left mandibular ramus area of ground glass aspect was observed. After incisional biopsy, fibrous dysplasia was diagnosed and sequentially treated with osteoplasty and coronoid process removal. The patient evolved to a 43-mm mouth opening and favorable aesthetics without recurrence in a 3-year follow-up period. In this case, coronoidectomy and bone plasty proved to be effective, returning aesthetics and function. The patient is supposed to be followed up in the long term.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Surgical Treatment of Fibroosseous Lesion in Young Patient with Reduced Mouth Opening

Carvalho

Torriani

Post

et al. 2018

Craniomaxillofacial Trauma & Reconstruction

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“…Radical surgery including local resection, marginal resection and total resection with or without reconstructive surgery. Most of studies implemented 2 type of surgery (radical and conservative surgery) in their patient, only 1 study (Kumar et al [9]) reported using radical surgery to treat all their patients. Radical surgery was the most preferable treatment that chosen by surgeon based on this review with percentage 35.7% compared with conservative surgery with percentage 28.6%.…”

Section: Type Of Surgerymentioning

confidence: 99%

“…Waldron stated the lesion usually describe as pathological changes within the jaw bones, in which normal bone is replaced by fibrous tissue with or without calcification. They frequently develop in the craniofacial region, especially in the jaws, the nasal cavity, the paranasal sinuses and the orbit [2]. They are divided into 3 different entities, namely osteoma, fibrous dysplasia (FD) and ossifying fibroma (OF).…”

Section: Introductionmentioning

confidence: 99%

Comparison radical surgery versus conservative surgery to decrease post-operative recurrence in ossifying fibroma: systematic review

Adham

Dewi

2020

J Oral Med Oral Surg

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Background: Ossifying fibroma in craniofacial is a rare disease, benign, locally aggressive fibro-osseous tumor. In the recent 2017 WHO classifications, ossifying fibroma divided into 2 type, ossifying fibroma of odontogenic origin and juvenile ossifying fibroma. Choosing the right treatment that can reduce the recurrence rate are particularly challenging. In this systematic review we try to analyse related study to determine the best treatment for ossifying fibroma. Aim: The aim of this review to evaluate best treatment option and analysed level of recurrence in each type of treatment. Method: Collected Juvenile Ossifying Fibroma (JOF) and Ossifying Fibroma (OF) related Article from four different database (PubMed, Scopus, Cochrane Library, and Proquest). Study selection was done by using PRISMA strategy. Result: Eight retrospective case series studies were analyzed. Recurrence rate after surgery was 15.3%, most frequent recurrence occurs in conservative surgery. Recurrence rate after conservative surgery was 19.7%, compared with radical surgery which relatively lower in percentage, with recurrence rate after surgery was 10.6%. Conclusion: Juvenile Ossifying Fibroma, especially Trabecular Juvenile Ossifying Fibroma (TrJOF), show high recurrence percentage comparing other type. The first-choice management for treating OF was surgical approach. Types of surgery choose to depend on the aggressiveness and morbidity of the disease. Radical surgery was proven better to decrease level of recurrence compared with conservative surgery.

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An Unusual Case of Lacrimal Duct Obstruction in a Teenager

Ray

Frey

Carron

2019

JAMA Otolaryngol Head Neck Surg

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Management and Treatment Outcomes of Maxillofacial Fibro-osseous Lesions: A Retrospective Study

Abstract: Introduction Fibro-osseous lesions are a diverse group of bone disorders and include developmental, reactive or dysplastic diseases and neoplasms. They share overlapping clinical, radiographic and histopathologic features and demonstrate a wide range of biological behaviour.

Cited by 10 publications

References 20 publications

Surgical Treatment of Fibroosseous Lesion in Young Patient with Reduced Mouth Opening

Surgical Treatment of Fibroosseous Lesion in Young Patient with Reduced Mouth Opening

Comparison radical surgery versus conservative surgery to decrease post-operative recurrence in ossifying fibroma: systematic review

An Unusual Case of Lacrimal Duct Obstruction in a Teenager

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