Le fibrome cémento-ossifiant : deux cas

Tchane, I. Bio; Adjibabi, Wassi; Biaou, Olivier; Alamou, S.; Balle, Marc Armijo; Alao, N.; Nepo, T.; Hounkpe, Y. Y. C.

doi:10.1016/s0035-1768(05)85798-5

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…[1] The etiology of OF remains unclear. Most believe that OF formation is linked simply to a disturbance of bone maturation of congenital origin, [12] and some suggest that OF arises from a stimulus provided by previous tooth extraction or periodontitis. [6] The lesions are most commonly seen in the third and fourth decades of life with female preponderance.…”

Section: Discussionmentioning

confidence: 99%

Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma

Wu¹,

Xing²,

Liu

et al. 2018

Medicine

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Rationale: Ossifying fibroma (OF) is a benign fibro-osseous lesion that can develop in the oral and maxillofacial region. OF is more common in females and has a marked predilection for the mandible, occurring rarely in the maxilla. Lesions grow slowly and are usually asymptomatic until growth produces an obvious swelling, pain, paresthesia, and facial deformity. With low rates of recurrence, treatment is usually curettage or resection. Very large lesions that invade other organs and that cannot be completely removed should be excised conservatively. Patient concerns: We present a case of a 46-year-old female with a very large fibro-osseous lesion arising from the maxilla who was more concerned about the facial appearance and requested conservative treatment for economic reasons. Diagnoses: The pathological results based on conservative excision of the lesion confirmed the diagnosis of OF. Interventions: We chose conservative excision via the Weber–Ferguson approach and followed up every 6 months. Facial deformity correction was performed 2 years postoperatively and right lower eyelid ectropion correction 3 years after the primary excision. Outcomes: The ectropion deformity in the right lower eyelid improved dramatically with a better facial appearance and no obvious swelling. Lessons: Treatment programs for OF should be individualized based on the size, growth rate, invasion, and interference with facial function and esthetics. If lesions grow slowly, we suppose that it is feasible to excise conservatively when reconstruction cannot be performed due to esthetic and functional problems. Also regular postoperative follow-up is necessary to detect recurrence, and to improve facial appearance as required.

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Section: Discussionmentioning

confidence: 99%

Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma

Wu¹,

Xing²,

Liu

et al. 2018

Medicine

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“…2 , 12 , 13 There is a supposition that previous tooth extraction or periodontitis might provide a stimulus, 3 , 12 or that the formation of ossifying fibromas might be simply linked to a disturbance of bone maturation of congenital origin. 4 …”

Section: Discussionmentioning

confidence: 99%

“…The lesions present in uni or multilocular form. 4 , 21 In most cases, the lesions are radiolucent with radiopaque foci, depending on the quantity of tissue calcification, which gives rise to varying degrees of radiopacity. 2 , 8 Aggressive lesions may show loss of the limits at the edges, similar to perforations in cortical bone.…”

Section: Discussionmentioning

confidence: 99%

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Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered

Silveira

Cardoso

Silva

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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The aim was to report on a case of ossifying fibroma, consisting of a benign fibro-osseous lesion characterized by slow growth and proliferation of fibrous cellular tissue, bone, cement or a combination.A 29-year-old male patient was attended at a hospital, after he had suffered a car accident. During the clinical examination, increased volume in the region of the right side of the mandible was observed, and a fracture in the middle third of the face was suspected. The tomographic examination showed an image suggestive of fracturing of the left-side zygomatic complex, without displacement, and with a well-delimited radiopaque image of the mandible. The patient was sent to a hospital where panoramic radiography, posteroanterior radiography of the face and teleradiography were performed in order to better document the case. An incisional biopsy was performed. Histopathological examination showed the presence of a benign bone lesion suggestive of ossifying fibroma. Surgery was performed in order to completely remove the lesion, with fixation using a reconstruction plate. A new anatomopathological examination confirmed the diagnosis.

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Cemento-ossifying fibroma of jaws—correlation of clinical and pathological findings

et al. 2010

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Cemento-ossifying fibroma (COF) belongs to the group of bone-related lesions of the oral cavity. The aim of this study was refine its histologic features and to correlate histopathological picture and clinical behavior of the tumor. The quantity of bone spherules, their cellularity, the existence of hemorrhage, inflammation, and endochondral ossification in the stroma of the tumor were analyzed and correlated with patients main symptoms of ten patients with COF. All patients had swelling that lasted between 3 and 20 months (mean 10.4 months). Other clinical symptoms were facial asymmetry, eye bulb protrusion, and teeth displacement. The evolution of the tumor was longer in the mandible (12.3 months) than in maxilla (9.5 months). The main histomorphological diagnostic criterion for COF was psammoma-like structures. In lesions with longer case history, the number of "psammomatoid" bodies was greater. In lesions with shorter course of the disease, their number was lower and stromal hemorrhage and inflammation were presented. One patient had secondary superposition of aneurysmal bone cyst in the prime COF of mandible. Histological appearance of COF may be influenced by the tumor evolution. A siginificant correlation between the clinical course of the disease and histological parameters has been certified.

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Le fibrome cémento-ossifiant : deux cas

Cited by 7 publications

References 4 publications

Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma

Surgical correction of residual facial deformity following conservative excision of a giant maxillary ossifying fibroma

Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered

Cemento-ossifying fibroma of jaws—correlation of clinical and pathological findings

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