Multidisciplinary Management of Benign Jaw Tumors in Children

Akay, Mehmet Cemal; Zeytinoğlu, Mert; Şimşek, Birant; Aras, Isil

doi:10.5772/59341

Cited by 4 publications

(12 citation statements)

References 55 publications

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“…Irrespective of the histological type, surgical resection is the treatment of choice. In case of benign tumours, there are two options: conservative surgery and radical surgery [26]. Conservative approach includes enucleation or curettage.…”

Section: Discussionmentioning

confidence: 99%

Odontogenic Tumours of Jaw: A Prospective Study on Clinico-Pathological Profile and Their Management

Mukherjee

Das

Chatterjee

2017

Indian J Otolaryngol Head Neck Surg

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Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or non-neoplastic tissue proliferations to benign neoplasms to malignant tumours with metastatic potential. They are rare, comprising about <2-3% of all oral and maxillofacial biopsy specimens. The aim of the present study was to determine the clinico-pathological presentation of this heterogeneous group of lesions and review of literature. The present study was conducted in the ENT department of a Government Medical College and Hospital, West Bengal, India, over the period of 5 years from January 2011 to December 2015. It included a total of 15 patients who were clinico-radiologically diagnosed as odontogenic tumours, and were given appropriate treatment. Their diagnostic and management approaches are discussed. Among 15 odontogenic tumours, 13 were benign and two were malignant. Male to female ratio was 2:3. Mandible to maxilla ratio was 1.8:1. The patients were in between 4 and 56 years of age with highest incidence in 3rd decade of life. All patients are doing well till date with a minimum follow-up of 1 year. Incisional biopsy is considered as gold standard for preoperative diagnosis but FNAC can offer clinicians a less invasive alternative. CT is the choice of investigation for study of lesion, analysis of its extension and surgical planning. The challenge to proper management lies in balancing between conservative and radical approach to reduce morbidity and recurrence both. Final diagnosis is made by post-operative histopathological examination.

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Section: Discussionmentioning

confidence: 99%

Odontogenic Tumours of Jaw: A Prospective Study on Clinico-Pathological Profile and Their Management

Mukherjee

Das

Chatterjee

2017

Indian J Otolaryngol Head Neck Surg

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“…Various physiological changes with rapid growth and development process in the maxillofacial area during the mixed dentition period in children affect the growth potential of tumors and tumorlike lesions with considerable significant morbidity. 1 As in adults, pediatric jaw lesions can arise from odontogenic or nonodontogenic tissues; however, the majority of pediatric jaw lesions are nonodontogenic and benign in nature. The high prevalence of dental disease in children results in inflammatory, infective, and reactive processes having substantial overlap in imaging features with more serious locally aggressive tumors or malignant conditions, thereby requiring invasive tissue diagnosis for proper management in some cases.…”

Section: Introductionmentioning

confidence: 99%

“…The high prevalence of dental disease in children results in inflammatory, infective, and reactive processes having substantial overlap in imaging features with more serious locally aggressive tumors or malignant conditions, thereby requiring invasive tissue diagnosis for proper management in some cases. 1,2 The radiological diagnosis of various jaw lesions is based on the patient's history, location of the lesion, and characteristic radiographic alteration of the lesion as well as adjacent structures. Multiple imaging modalities, like orthopantomograph (OPG), multidetector computed tomography (MDCT), cone beam CT (CBCT), and magnetic resonance imaging (MRI) are available for the workup of jaw lesions.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 MRI is a useful adjunct to CT, because of its superior soft-tissue contrast, better delineation of internal components of a lesion, and ability to assess the involvement of the bone marrow in infectious and malignant processes affecting the jaw. 1,3 Since information obtained from CT and MRI is often complementary, the use of a modality is also governed by institutional practice and availability. Moreover, some of the disadvantages like long scan time, need for sedation of small children, and high cost limit the use of MRI.…”

Section: Introductionmentioning

confidence: 99%

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A Pattern-based Imaging Approach to Pediatric Jaw Lesions

Sahu

Anand

Kumar

et al. 2021

Indian Journal of Radiology and Imaging

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Jaw lesions in the pediatric population, although infrequently encountered in clinical practice, can cause functional impairment and cosmetic disfiguring. It is further complicated by the difficulty in diagnosis due to complex anatomy and facial developmental process during infancy and childhood. Intraosseous pediatric jaw lesions may vary from odontogenic to nonodontogenic types with nonspecific clinical features in most cases. They deserve careful attention by a systematic approach to provide a relevant diagnosis or differential diagnosis for timely management. Imaging plays a major role in diagnosis with orthopantomograph being the foremost investigation, followed by cross-sectional imaging, essentially computed tomography as a problem-solving tool. This article highlights the imaging spectrum of various jaw lesions in the pediatric population with a pattern-based approach for radiological diagnosis.

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“…The oro-facial region is a site for multitude of neoplastic conditions [ 1 ] leading to broad differential diagnosis [ 2 , 3 ]. Orofacial tumors often cause significant disfiguring effect to facial aesthetics, this may constitute the reason for early hospital presentation.…”

Section: Introductionmentioning

confidence: 99%

Paediatric jaw tumours: experiences and findings from a resource limited tertiary health care center

Akhiwu¹,

Osunde²,

Akhiwu³

et al. 2020

PAMJ

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Introduction primary maxillofacial tumors are uncommon in pediatric patients. When they do occur, the tissue damage caused directly alters facial growth, development as well as psycho-social evolution. This study was carried out to determine the pattern, sociodemographic characteristics and histologic peculiarities of paediatric jaw tumors in our environment. Methods a retrospective hospital-based study where the case notes of children below the age of 14 years who presented with jaw tumors and tumor-like lesions from January 2014 to December 2018 were studied. Results eighty-two patients were studied; patients aged 10-14 years had the highest representation. Mean time of presentation was 8 months with jaw swelling being the commonest presentation (84.1%). Majority of the fathers were in their 4 th decade of life while most of the mothers were in their third decade of life and both parents possessed primary school certificate as their highest level of educational attainment. Fathers were mostly traders, while mothers were mostly full-time housewives. The maxilla and mandible were most commonly affected with the left side showing higher preponderance. Burkitt lymphoma (19 (23.2%)) and adenomatoid odontogenic tumor (14 (17.1%)) were the commonest lesions. When the tumor involved both the maxilla and the mandible, the tumor was most likely malignant. Conclusion in our center, paediatric jaw tumors are commonest in male children with the 10-14 years´ age group most commonly affected. Burkitt lymphoma and adenomatoid odontogenic tumors were the commonest tumors. Early presentation must be encouraged since these tumors if presented early can be successfully treated.

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Multidisciplinary Management of Benign Jaw Tumors in Children

Cited by 4 publications

References 55 publications

Odontogenic Tumours of Jaw: A Prospective Study on Clinico-Pathological Profile and Their Management

Odontogenic Tumours of Jaw: A Prospective Study on Clinico-Pathological Profile and Their Management

A Pattern-based Imaging Approach to Pediatric Jaw Lesions

Paediatric jaw tumours: experiences and findings from a resource limited tertiary health care center

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