Fibro-osseous lesion of maxilla. Report of two cases in a family with review of literature

Kaur, Baldeep; Sheikh, Soheyl; Shambulingappa, P

doi:10.4317/jced.3.e336

Cited by 4 publications

(5 citation statements)

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“…The other radiological manifestations are those resembling the surface of an orange (peau d'orange), a wispy arrangement (cotton wool), organization of the abnormal trabeculae into a swirling pattern similar to a fingerprint [11]. In our case, there was a well-defined radiographic margin which favoured a diagnosis of juvenile ossifying fibroma, unlike fibrous dysplasia which blends with surrounding bone [12]. …”

Section: Discussionmentioning

confidence: 82%

Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

Nair¹,

Kini²,

Rao³

et al. 2016

Case Reports in Dentistry

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Fibrous dysplasia (FD) is a condition characterized by excessive proliferation of bone forming mesenchymal cells which can affect one bone (monostotic type) or multiple bones (polyostotic type). It is predominantly noticed in adolescents and young adults. Fibrous dysplasia affecting the jaws is an uncommon condition. The most commonly affected facial bone is the maxilla, with facial asymmetry being the chief complaint. The lesion in many instances is confused with ossifying fibroma (OF). Diagnosis of these two lesions has to be done based on clinical, radiographic, and microscopic findings. Here, we present a case of fibrous dysplasia of maxilla in a nine-year-old boy mimicking juvenile ossifying fibroma.

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Section: Discussionmentioning

confidence: 82%

Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

Nair¹,

Kini²,

Rao³

et al. 2016

Case Reports in Dentistry

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“…Fibrous dysplasia manifests as a painless swelling to the affected bones and produce aesthetically visible deformities.The deformity of the jaw results from a progressively slow growing painless swelling, but growth often slows or become arrested at a time coinciding with the onset of puberty. 6 The patient may experience a variety of symptoms, including headaches, loss of vision, proptosis, diplopia, loss of hearing, anosmia, nasal obstruction, epistaxis,epiphora and symptoms like sinusitiswhen the anatomical spaces and foramina are constricted because of encroachmentof the lesions. 19 Most of the patient present painless diffuse swelling in our study and some of patients develop a variety of symptoms, including headaches, nasal o-bstruction, epistaxis and symptoms like sinusitis.…”

Section: Results and Observationmentioning

confidence: 99%

“…8 The treatment consist of surgical recontouring or resection whichshould be postponed until after cessation of skeletal growth becauseearly treatment may accelerate growth of the lesion. 6 Fibrous Dysplasia Case no -01…”

Section: Results and Observationmentioning

confidence: 99%

“…These lesions comprise fibrous dysplasia, ossifyingfibroma, periapical cementosseous dysplasia, focalcementosseous dysplasia, florid cementosseousdysplasia and cementossifying fibroma. 6 Fibro-osseous lesions may be associated with significant aesthetic and functional disturbances or they may be completely asymptomatic localized lesions that are identified only on routine radiograph. 2 Radiographically, fibroosseous lesions may manifest as solitary, multifocal or multiquadrant disease, itmay be ill defined or well defined, radiolucent, mixed radiolucentradiopaqueor ground glass appearance and may or may not be associated with the root apices of teeth.…”

Section: Introductionmentioning

confidence: 99%

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Fibro Osseous Lesions of The Craniofacial Structures – A Clinical Study

Rahman

Haider

2018

Update Dent. Coll. j

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Fibro osseous lesions area diverse group of disorders characterized by replacement of normal archi- tecture of bone by a benign connective tissue matrix that displays various amount ofmineralizationin the form of woven bone or cementum. It includes developmental, reactive and neoplastic lesions. The different type of fibro-osseous lesions express a common clinical and radiological features. Soad- equate knowledge and clinical observationare necessary for proper interpretation and appropriate diagnosis of these lesions.becausemanagement of patients with fibro-osseous lesions are case specificandindividualized.The aim of this study was to analyse the clinical, radiological and histo- pathological characteristics of fibro osseous lesions andprovide a proper management system affect- ed by this type of lesions. Materials and methods:The retrospective study was performed in the Department of Oral & Maxillofacial surgery, Dhaka Dental College and Hospital, Dhaka, Bangladesh from a period of January 2015 to January 2018. Patients were selected for this study based on clinical, radiological and histopathological confirmation of fibro-osseous lesion. The management of each case were plannedand follow-up data were also documented. Results: A total number of 30 patients were selected for this study.The most common fibro-osseous lesionsin this study were fibrous dyspla- sia 10 (33%) and ossifying fibroma 20 (67%).The mean age offibrous dysplasia were 17.4 years with an age range 12 to 33 years and at ossifying fibroma the mean age were 30.35 years with an age range 12 to 57 years. Female17 (57%) represented the majority of the affected patients. Fibrous dysplasia were more common in maxilla(70%) and ossifying fibroma were more common in the man- dible(60%).Surgical recontouring and clinical observation were treatment of choice infibrous dysplasia and surgical resection, enucleation and curettage were treatment of choice in ossifying fibroma. Conclusion:The most common fibro-osseous lesion in our clinical study was fibrous dysplasia and ossifying fibroma which presents painless bony swelling and deformity in maxilla and mandible. Fibrous dysplasia presents as a homogenous, radioopacity,ill defined border and ossifying fibroma presents a mixed radioopacity and radiolucent lesion that is well demarcated from normal bone. Surgi- cal recontouring and clinical observation was done in treatment of fibrous dysplasiaand ossifying fibroma wastreated enucleation and curettage, segmental resection completelyenucleatefromsur- rounding bone.Update Dent. Coll. j: 2018; 8 (1): 45-54

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“…The reactivation of the lesion can be seen due to hormonal changes, such as those seen in pregnancy. 8 When maxilla is affected it may involve zygomatic and sphenoid bone. Involvement of frontal, sphenoid, naso-ethmoid and maxillary bone may lead to nasal obstruction, sinus obstruction and sinusitis.…”

Section: Discussionmentioning

confidence: 99%

Monostotic Type of Fibrous Dysplasia of Maxilla

2016

IJDA

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ABSTRACT:Fibrous Dysplasia is a non-neoplastic developmental disease of bone, which is manifested as a defect in osteoblastic differentiation and maturation. It appears in three forms namely monostotic (single bone involvement), polyostotic (multiple bone involvement) and craniofacial forms. Of the craniofacial bones, Maxilla is affected more commonly than mandible. The present paper discusses a case of monostotic fibrous dysplasia of maxilla.It was diagnosed based on clinical, radiological and histopathological investigations. The osseous recontouring was done and he is under followup without any recurrence.

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Fibro-osseous lesion of maxilla. Report of two cases in a family with review of literature

Cited by 4 publications

References 9 publications

Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

Fibrous Dysplasia versus Juvenile Ossifying Fibroma: A Dilemma

Fibro Osseous Lesions of The Craniofacial Structures – A Clinical Study

Monostotic Type of Fibrous Dysplasia of Maxilla

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