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Synchronous Juvenile ossifying Fibroma in maxilla and mandible- A case report  [PDF]
B Shrestha,S Subedi,S Pandey
Journal of Chitwan Medical College , 2014, DOI: 10.3126/jcmc.v4i2.10867
Abstract: 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
Trabecular variant of juvenile aggressive ossifying fibroma of anterior mandible  [cached]
Manjunatha BS,Nagarajappa Das,Saraswati Naik,Gowramma R
Pediatric Reports , 2012, DOI: 10.4081/pr.2012.e24
Abstract: Juvenile ossifying fibroma (JOF) is an expansile intra-osseous lesion of the jaw that emulate odontogenic lesions frequently seen in patients under 15 years of age. They are histologically characterized by the presence of fibrous stromal cells along with mineralized tissues. Clinically, these are characterized by early age of onset, histological patterns, high rate of recurrence and the aggressive local behavior. The differential diagnosis of JOF with other fibro-osseous lesions of the jaw should be made along with an essential microscopic examination and be largely based on the character of the calcified products of the tumor. The purpose of this article is to present a rare clinical case of the trabecular type of JOF and to describe its clinical, radiological and histological characteristics. The clinician should be aware of this type of lesion in order to be able to distinguish this it from other fibrous lesions if encountered in routine practice and for appropriate treatment to be carried out.
Juvenile Aggressive Ossifying Fibroma in a 6-Months Old: A Case Report  [PDF]
Mmathabo Gloria Sekhoto, Risimati Ephraim Rikhotso
Open Journal of Stomatology (OJST) , 2017, DOI: 10.4236/ojst.2017.711044
Abstract: Juvenile Aggressive Ossifying Fibroma (JAOF) is a benign but locally aggressive fibro-osseous lesion. It is a rapidly growing non-odontogenic neoplasm of the jaws, generally occurring in children and young adults. It is often confused with malignant condition because of its clinical behaviour. Long term follow-up is necessary, considering the high recurrence nature of this tumour. The reconstruction of affected patients, particularly the younger, is often challenging since it has to be done in stages, to keep up with the developing face. We report a case of maxillary JAOF in a 6-month-old female who was referred to our department. Histopathological examination of a resected specimen revealed a trabecular type of JAOF. The patient was followed up for a period of 2 years.
Juvenile Psammomatoid Ossifying Fibroma – A Case Report  [PDF]
Guruprasad R,,Som Datt Gupta,,Nisha Dua,,Ruchi Mehta
People's Journal of Scientific Research , 2011,
Abstract: Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm in young children. JOF is defined as a variant of the ossifying fibroma, and latter includes juvenile psammomatoid ossifying fibroma (JPOF) and juvenile trabecular ossifying fibroma (JTOF). Both variants involve the craniofacial bones with the trabecular variant being more common in the jaws and the psammomatoid variant being more common in the paranasal sinuses. This lesion is locally aggressive andspreads quickly. As it has a very high recurrence rate, complete excision is essential. A case of large JPOF involving rightmaxilla and other cranial bones in a 12 year old female patient with clinical, radiographic and histopathological features arepresented. Surgical management and follow up is also emphasized.
Asymptomatic Presentation of Aggressive Ossifying Fibroma:A Case Report
Roopashri Rajesh Kashyap,Gopakumar R. Nair,Subhas Babu Gogineni
Case Reports in Dentistry , 2011, DOI: 10.1155/2011/523751
Abstract: Ossifying fibromas form a part of the spectrum of fibro-osseous lesions of the jaws. They are rare, benign, nonaggressive tumors that are commonly seen in head and neck region. This paper presents the case of a 40-year-old female patient presented with minimal clinical symptoms, diagnosed to be suffering from aggressive form of ossifying fibroma of maxilla involving the maxillary sinus and ethmoid sinus. This paper emphasizes the importance of computed tomography in diagnosing such unapparent aggressive tumors.
Juvenile Ossifying Fibroma of the Mandible: a Case Report  [PDF]
Bahar Keles,Mutlu Duran,Yavuz Uyarhttp://www.doaj.org/restricted,Ahmet Azimov
Journal of Oral & Maxillofacial Research , 2010,
Abstract: 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, follow-up the patient over the long-term.
Peripheral cemento-ossifying fibroma of maxilla  [cached]
Chatterjee Anirban,Ajmera Neha,Singh Amit
Journal of the Indian Society of Periodontology , 2010,
Abstract: Peripheral cemento-ossifying fibroma is a reactive gingival overgrowth occurring frequently in anterior maxilla. It is a slow-growing benign tumor which may lead to pathologic migration and other periodontal problems, so it should be excised as soon as possible. The recurrence rate of peripheral cemento-ossifying fibroma is reported to be 8% to 20%, so a close postoperative follow-up is required. Herein, we are reporting a similar case of peripheral cemento-ossifying fibroma in the maxillary anterior region.
Juvenile psammomatoid ossifying fibroma. Case report
Hellenic Archives of Oral and Maxillofacial Surgery , 2012,
Abstract: Ossifying fibroma (OS) represents a slow growing, benign neoplasm that belongs to the greater group of fibro-osseous lesions. Based on its histological features, ossifying fibroma is divided into: a) juvenile trabecular OS and b) juvenile psammomatoid OS which affects mainly the paranasal sinuses of children and teenagers aging from 5 to 15 years.A rare case of juvenile psammomatoid ossifying fibroma in a 30 year old male patient located in the left mandibular ramus is presented. Treatment plan included radical surgical excision of the lesion and restoration with autologous osteochondral graft from the 6th rib of the ipsilateral side.
Fibroma osificante juvenil activo trabecular, deformante: Reporte de un caso Deformity by a Trabecular Juvenile Active Ossifying Fibroma: A case report
Orlando Yoris,Ligia Pérez,Cesar Molina,Luís Sarmiento
Acta Odontológica Venezolana , 2009,
Abstract: El fibroma osificante juvenil activo trabecular (FJOAT), es una variante histológica del fibroma osificante, que forma parte de la familia de lesiones fibro-óseas benignas, cuya característica común, es la sustitución del hueso medular por tejido fibroso con cantidades variables de hueso o cementoide. Aparece con mayor frecuencia en los huesos cráneo-faciales de individuos entre los 12 y 15 a os de edad, comportándose como una lesión agresiva y recidivante. El propósito de este artículo es reportar, un paciente masculino, de 16 a os quien acude al servicio de cirugía bucal en esta institución, por una marcada asimetría facial del tercio superior y medio del lado derecho, asintomática, con cinco a os de evolución. Imagenologicamente se observa masa ocupante de espacio, en seno maxilar, cavidad nasal, extendiéndose al piso de la orbita del lado afectado y a estas mismas estructuras homologas del lado contrario. La biopsia incisional reveló un fibroma osificante juvenil activo, tipo trabecular. La eliminación total de la lesión y su estudio, corroboró el diagnostico. Se demuestra hasta donde es capaz de causar deformidad esta patología y se recalca la importancia del trabajo en equipo transdisciplinario y del estudio microscópico para llegar a un diagnostico definitivo. The juvenile active ossifying fibroma, trabecular type, is a histological variant of ossifying fibroma, which belong to the benign fibrous osseous lesions family, being its common feature the replacement of medullar bone by fibrous tissue with variable quantity of bone and/or cementoide. It is found on the cranial facial bones in 12 to 15 years old patients, behaving in an aggressive fashion. The purpose of this paper is to report, a sixteen years old male patient, who went for consultation to the oral surgery service at this institution, due to a marked right facial asymmetry, asymptomatic, for five years. The computerized tomography showed a mass involving right maxillary sinus and nasal cavity, extending to the inferior border of the orbit enclosing the homologous structures on the left side. The incisional biopsy revealed a trabecular juvenile active ossifying Fibroma. The excisional biopsy confirmed this diagnosis. It is shown how this lesion is capable to cause a marked facial asymmetry and how is important the microscopic study of the lesions in order to get a precise diagnosis.
Fibroma osificante central en el maxilar superior: reporte de un caso y revisión de la literatura Central ossifying fibroma in the maxilla: a case report and review of the literatur  [cached]
B.R. Chrcanovic,R. López Alvarenga,M.C.R. Horta,B. Freire-Maia
Avances en Odontoestomatología , 2011,
Abstract: El fibroma osificante central (fibroma cementificante / fibroma cemento osificante) es un tumor benigno óseo bien delimitado, se localiza principalmente en los maxilares aunque se puede presentar en los huesos orbital, frontal, paranasal y temporal. Se caracteriza por presentar un crecimiento y una tumefacción deformante de evolución lenta con una incidencia mayor en la mandíbula. El tratamiento consiste en la extirpación quirúrgica de la lesión. En este artículo se presenta un caso de fibroma osificante central localizado en la región posterior derecha del maxilar superior, de gran dimensión, que acomete a una paciente de sexo femenino de 46 a os de edad, revelando datos clínicos, aspectos diagnósticos, imagenológicos, histopatológicos así como su tratamiento. Central ossifying fibroma (cementing fibroma / cemento ossifying fibroma) is a bone benign tumor almost exclusively from maxillary region but can be in the orbital bones, frontal, paranasal and temporal. Progressive growth and disfiguring swelling of slow evolution are characteristics with more prevalence in the mandible. The treatment choice is a surgical excision of the lesion. This article presents a case of central ossifying fibroma located in the region of the right posterior maxilla of large dimension of a female patient of 46 years of age, describing clinical, diagnostic, imaging, and histopathological aspects as well as the treatment employed.
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