Juvenile trabecular ossifying fibroma of the mandible (original) (raw)

Juvenile Ossifying Fibroma of the Mandible: a Case Report

J Oral Maxillofac …, 2010

Background: Fibro-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. Methods: A 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. Results: Because 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. Conclusions: Although 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, followup the patient over the long-term.

Case Report A Rare Case of Young Patient with Mandibular Juvenile Ossifying Fibroma

EC Dental Sciencs, 2023

Background: Ossifying fibroma is a rare odontogenic tumor that commonly represent intraosseous non-functional osseous structure forms. Juvenile ossifying fibroma is considered an aggressive rapidly growing sub-type with tendency to occur in the early decades of life. Histological features of juvenile ossifying fibroma can manifest as cellular fibroblastic tissue admixed with woven bone trabeculae with varying histologic presentations. Diagnosis of juvenile ossifying fibroma made based on patient's age, site of the lesion, and clinical behaviour along with the histopathological findings. Case Report: A 13-year-old female was referred to the oral and maxillofacial surgery department complaining from swelling in the left mandible. Clinical examination revealed expansile lesion on left side of the mandible. Radiographic examination showed hypodense lesion in posterior body of mandible extending to the angle of the mandible related to lower left molars and extending to inferior border of mandible causing thinning to the cortex. Histopathological examination revealed cellular fibrous connective tissue containing spherical ossicles composed of a basophilic center with an eosinophilic rim, and brush borders that blend into the surrounding stroma. The diagnosis was juvenile ossifying fibroma. Conclusion: Definite diagnosis of Juvenile ossifying fibroma may be challenging hence detailed examination should be done to differentiate from other fibro-osseous lesions as its management may varies from surgical enucleation to complete resection and reconstruction.

Juvenile trabecular ossifying fibroma involving mandibular angle and ramus region

International Journal of Medical and Dental Case Reports

Juvenile ossifying fibromas (JOFs) are the fibro-osseous lesions known to occur in children. Although benign, they are locally aggressive and are known to reoccur. They have two microscopic patterns; trabecular and psammomatoid. Here, we report a case of JOF in a 4-year old male patient who reported to our department with a chief complaint of swelling over the right side of the lower third of his face.

Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible

2016

Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior 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.

Juvenile ossifying fibroma of mandible - a case report

Oral Surgery, 2012

Juvenile ossifying fibroma is a benign lesion with aggressive local growth. It is similar to an ossifying fibroma, although it is more aggressive and of earlier onset. The tumour mainly occurs in juveniles, majority of the patients being 15 years or younger. Radiologically as well as at surgery, the lesion is well demarcated from its surroundings. In this article, we report a case of juvenile ossifying fibroma of mandibular anterior region extending from canine to canine region with expansion of both buccal and lingual cortical plates with a history of 6 month duration in an 8-year-old girl. The treatment was complete enucleation of the tumour mass and curettage of the bony cavity with primary closure. The patient is on regular follow-up of 2 years with no recurrence.

Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

Journal of Contemporary Dentistry, 2016

Juvenile ossifying fibroma (JOF) – A rare case report

GSC Advanced Research and Reviews, 2021

Juvenile ossifying fibroma (JOF) is a rare, benign, bone forming lesion of children and adolescents. When sited in the jaws, it is considered as an aggressive form of ossifying fibroma presenting with a wide range of clinical symptoms and a high incidence of recurrence. Although early detection and management is thought to eradicate it completely. The present case report focuses on the surgical yet conservative management of JOF in a 5 years old boy who reported with a year-long, progressive swelling on the left side of his face. The tumour was excised with minimal surgical intervention into a clearly defined and lobulated single mass using maxillary vestibular incision under general anaesthesia. The postoperative course was uneventful, and no signs of recurrence were found in the next 6 months follow-up period.

Juvenile Trabecular Ossifying Fibroma of the Maxilla: a Case Report

Medical Archives, 2016

Introduction: Juvenile ossifying fibromas are uncommon benign tumors. Their aggressiveness added to their high tendency to recur, provoke real diagnostic and therapeutic challenges for the dental practitioner and make a postoperative follow-up over the years indispensable. Case report: In this report, we present a case of a seven-year-old girl presented with a swelling in the face at the upper right maxillary region. After clinical, radiological, and histopathological examinations the diagnosis of trabecular juvenile ossifying fibroma was made. The lesion was surgically excised and followed up for two years with no evidence of recurrence.

Juvenile Ossifying Fibroma of Maxilla: Report of a case

Journal of Clinical Pediatric Dentistry, 2008

Juvenile ossifying fibroma (JOF) is a rare type of fibro osseous lesion affecting the jaws of children under 15 years of age. We report a case of an 8–year–old boy diagnosed with trabecular form of JOF affecting the left maxilla with brief description about its histopathological differential diagnosis.

Synchronous Juvenile ossifying Fibroma in maxilla and mandible- A case report

Journal of Chitwan Medical College, 2014

Juvenile ossifying fibroma (JOF), one of the fibroosseous lesions is an uncommon clinical entity and involving both jaw is even rarer. Here, we present the case of a 15-year-old female patient with synchronous occurrence of JOF in the right sided maxilla and in the periapical area of mandibular right premolar molar region. After the clinical, radiographical and histopathological examination, the surgical treatment was carried out and the patient was kept under long term follow up. Owning to its aggressive local behaviour and high recurrence, early diagnosis, appropriate treatment and long term regular follow up are of prime importance. DOI: http://dx.doi.org/10.3126/jcmc.v4i2.10867 Journal of Chitwan Medical College 2014; 4(2): 54-57

Juvenile trabecular ossifying fibroma of the mandible (original) (raw)

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