Trabecular juvenile ossifying fibroma in the maxilla: from diagnosis to rehabilitation

Autores/as

DOI:

https://doi.org/10.5935/2525-5711.20200013

Palabras clave:

Ossifying fibroma, Oral pathology, Margins of excision, Treatment outcome

Resumen

Juvenile ossifying fibroma is a benign fibro-osseous lesion with an unusual presentation that predominantly affects individuals in the first decade of life. The aggressiveness ad- ded to the high rates of recurrence causes real diagnostic and therapeutic challenges for the dental surgeon and makes post-operative follow-up over the years indispensable. We present the case of a 21-year-old girl with a rapid onset and abrupt increase in volume in the left maxilla. After clinical, radiographic and histopathological exams, the diagnosis of trabecular juvenile ossifying fibroma was obtained. The lesion was surgically removed and the patient was rehabilitated with a removable partial prosthesis, due to the involve- ment of some teeth during surgical access. The present clinical case demonstrates that the adequate treatment must consist of complete surgical excision, early functional and aesthetic prosthetic rehabilitation and long-term preservation.

Biografía del autor/a

Edmundo Marinho Neto, AGES University Center

Dental School, Department of Dentistry

Tauan Rosa de-Santana, AGES University Center

Dental School, Department of Oral Rehabilitation

Gustavo Almeida Souza, AGES University Center

Dental School, Department of Oral and Maxillofacial Surgery

Citas

El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ. WHO classification of head and neck tumours. 4th ed. Lyon: IARC; 2017.

Ojo MA, Omoregie OF, Altini M, Coleman H. A clinic-pathologic review of 56 cases of ossifying fibroma of the jaws with emphasis on the histomorphologic variations. Niger J Clin Pract. 2014 Sep/Oct;1(17):619-23.

El-Mofty S. Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: two distinct clinicopathologic entities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Mar;93(3):296-304.

Neville B, et al. Patologia oral e maxilofacial. 4th ed. Rio de Janeiro: Guanabara Koogan; 2016.

Han J, Hu L, Zhan C, Yang X, Tian Z, Wang Y, et al. Juvenile ossifying fibroma of the jaw: a retrospective study of 15 cases. Int J Oral Maxillofac Surg. 2016 Mar;45(3):368-76.

Chrcanovic BR, Gomez RS. Juvenile ossifying fibroma of the jaws and paranasal sinuses: a systematic review of the cases reported in the literature. Int J Oral Maxillofac Surg. 2019 Jan;49(1):28-37.

Worawongvasu R, Songkampol K. Fibro-osseous lesions of the jaws: an analysis of 122 cases in Thailand. J Oral Pathol Med. 2010 Oct;39(9):703-8.

Phattarataratip E, Pholjaroen C, Tiranon P. A clinicopathologic analysis of 207 cases of benign fibro-osseous lesions of the jaws. Int J Surg Pathol. 2014 Jun;22(4):326-33.

Owosho AA, Hughes MA, Prasad JL, Potluri A, Branstetter B. Psammomatoid and trabecular juvenile ossifying fibroma: two distinct radiographic entities. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;1(1):3-24.

Slootweg PJ. Juvenile trabecular ossifying fibroma: an update. Virchows Arch. 2012 Dec;461(6):699-703.

Slootweg PJ, Panders AK, Koopmans R, Nikkels PG. Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med. 1994 Oct;23(9):385-8.

Kumar KAJ, Kishore PK, Mohan AP, Venkatesh V, Kumar BP, Gandla D. Management and treatment outcomes of maxillofacial fibro-osseous lesions: a retrospective study. J Maxillofac Oral Surg. 2015 Sep;14(3):728-34.

Irish J, Sandhu N, Simpson C, Wood R, Gilbert R, Gullane P, et al. Quality of life in patients with maxillectomy prostheses. Head Neck. 2009 Jun;31(6):813-21.

Depprich R, Naujoks C, Lind D, Ommerborn M, Meyer U, Kubler NR, et al. Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses. Int J Oral Maxillofac Surg. 2011 Jan;40(1):71-9.

Cordeiro PG, Santamaria E. A classification system and algorithm for reconstruction of maxillectomy and midfacial defects. Plast Reconstr Surg. 2000 Jun;105(7):2331-46;discussion:2347-8.

Haraf MY, Ibrahim SI, Eskander AE, Shaker AF. Prosthetic versus surgical rehabilitation in patients with maxillary defect regarding the quality of life: systematic review. Oral Maxillofac Surg. 2018 Mar;22(1):1-11.

Nelson BL, Phillips BJ. Benign fibro-osseous lesions of the head and neck. Head Neck Pathol. 2019 Sep;13(3):466-75.

Urs AB, Kumar P, Arora S, Augustine J. Clinicopathologic and radiologic correlation of ossifying fibroma and juvenile ossifying fibroma-an institutional study of 22 cases. Ann Diagn Pathol. 2012 Jul;17(2):198-203.

Williams HK, Mangham C, Speight PM. Juvenile ossifying fibroma. An analysis of eight cases and a comparison with other fibro-osseous lesions. J Oral Pathol Med. 2002 Jan;29(1):8-13.

MacDonald-Jankowski. Ossifying fibroma: a systematic review. Dentomaxillofac Radiol. 2009 Dec;38(8):495-513.

Appiani MC, Verillaud B, Bresson D, Sauvaget E, Blancal JP, Guichard JP, et al. Ossifying fibromas of the paranasal sinuses: diagnosis and management. Acta Otorhinolaryngol Ital. 2015 Oct;35(5):355-61.

Barnes L, Eveson JW, Reichart P, Sidransky D. Pathology and genetics of head and neck tumours. In: Kleihues P, Sobin LH, eds. World Health Organization classification of tumours. Lyon, France: IARC Press; 2005. v. 9.

Marvel JB, Marsh MA, Catlin FI. Ossifying fibroma of the mid-face and paranasal sinuses: diagnostic and therapeutic considerations. Otolaryngol Head Neck Surg. 1991 Jun;104(6):803-8.

Han Y, Fan X, Su L, Wang Z. Diffusion-weighted MR imaging of unicystic odontogenic tumors for differentiation of unicystic ameloblastomas from keratocystic odontogenic tumors. Korean J Radiol. 2018 Jan/Feb;19(1):79-84.

Slootweg PJ, Müller H. Differential diagnosis of fibro-osseous jaw lesions. A histological investigation on 30 cases. J Craniomaxillofac Surg. 1990 Jul;18(5):210-4.

Su L, Weathers DR, Waldron CA. Distinguishing features of focal cemento-osseous dysplasias and cemento-ossifying fibromas: a pathologic spectrum of 316 cases. Oral Surg Oral Med Oral Pathol. 1997 Nov;84(5):540-9.

Toyosawa S, Yuki M, Kishino M, Ogawa Y, Ueda T, Murakami S, et al. Ossifying fibroma vs fibrous dysplasia of the jaw: molecular and immunological characterization. Mod Pathol. 2007 Mar;20(3):389-96.

Abuzinada S, Alyamani A. Management of juvenile ossifying fibroma in the maxilla and mandible. J Maxillofac Oral Surg. 2010 Mar;9(1):91-5.

Waldron CA. Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg. 1993 Aug;51(8):828-35.

Alves MGO, Carvalho BFC, Rocha AC, Ishida C, Carvalho YR, Almeida JD. Trabecular juvenile ossifying fibroma in the mandible: clinical, radiographic and histopathologic features. J Oral Diag. 2017;2(1):e20170011.

Descargas

Publicado

2020-01-11

Cómo citar

1.
Marinho Neto E, de-Santana TR, Souza GA. Trabecular juvenile ossifying fibroma in the maxilla: from diagnosis to rehabilitation. J Oral Diagn [Internet]. 11 de enero de 2020 [citado 15 de noviembre de 2024];5:1-6. Disponible en: https://joraldiagnosis.com/revista/article/view/94

Número

Sección

Case Report