Peripheral Ossifying Fibroma Veiling a Nasopalatine Duct Cyst: An Unusual Concurrence

Popli, Harsha; Singh, Harpreet; Gupta, Ambika; Kamboj, Mala

doi:10.1007/s12070-021-02601-0

Cited by 1 publication

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Periapical radiograms may occasionally be adequate. The second-level exams as CT and CT-Cone Beam undoubtedly represent the more fit radiological exams for diagnosis because they allow to study each aspect with the possibility of switching different axes of visualization to identify the proper dimension, the possible involvement of adjacent anatomical structures and the small spots of calcification, due to high sensitivity [22]. Also, MRI could be helpful, but it is considered a more expensive and invasive exam with a lower definition than CT [23].…”

Section: Clinico-radiological Features and Differential Diagnosismentioning

confidence: 99%

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

Forte,

Barile,

D'Amati

et al. 2024

Preprint

View full text Add to dashboard Cite

Background: Peripheral Ossifying Fibroma (POF) is a benign gingival tumor generally presenting as a slow-growing mass, usually not ulcerated, and without bleeding. Histopathological exam shows fibrous connective tissue with spots or extensive areas of intralesional calcifications, which can also be detectable on radiograms. Methods and case presentation: We present the case of a 4-year-old male with a retro-incisive swelling of the hard palate, associated with speaking and feeding difficulties. On CT scans, a small intralesional calcification was detected. After conscious sedation, the patient was subjected to diode laser excision (910 nm, 2W, CW, 300 m fiber) with-out post-operative complications. A review was conducted by searching the words “peripheral ossifying fibroma” AND “children” OR “infant” and including manuscripts of the last 15 years. Results: POF is an uncommon lesion of the oral mucosa and may sporadically affect the palatal mucosa in children. Considering its epidemiology and conventional clinical presentation as epu-lis, the pre-operative diagnosis may be relatively difficult. Risk factors could be represented by plaque, calculus, or trauma, all supporting a possible reactive pathogenesis, but a certain etiology is still missing. The main problem of POF is the recurrence rate, which is particularly high (8-20%), thus suggesting that a deep excision is recommended with full extension to the hard tis-sue of bone and to the adjacent periodontal ligament. Diode laser surgery may be recommended for such treatments, especially in pediatric patients, associated with intraoperative conscious se-dation. Data emerging from the relevant literature on POF management in children have been collected and discussed. Conclusions: The authors suggest the use of diode laser for the complete excision of POF, especially in less-compliant patients as children, with a low grade of comorbidi-ties and good outcomes, giving the surgeon a viable alternative to conventional surgery.

show abstract

Section: Clinico-radiological Features and Differential Diagnosismentioning

confidence: 99%