scholarly journals Er:YAG Laser Assisted Treatment of Central Odontogenic Fibroma of the Mandible

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Luis Silva Monteiro ◽  
Marco Martins ◽  
José Júlio Pacheco ◽  
Filomena Salazar ◽  
João Magalhães ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Er:Yag Laser ◽  
Complete Removal ◽  
Odontogenic Tumour ◽  
Radiographic Appearance ◽  
Odontogenic Epithelium ◽  
Odontogenic Fibroma ◽  
Central Odontogenic Fibroma ◽  
Expansive Lesion

Central odontogenic fibroma is a very rare benign odontogenic tumour characterized by a fibrous mature stroma with variable strands or islands of inactive-looking odontogenic epithelium. Our aim is to report a case of a central odontogenic fibroma and describe the clinical usefulness of Er:YAG laser for the surgical treatment of this tumour. A 74-year-old woman presented with an expansive lesion located in a mandible with multilocular and mixed radiographic appearance. A conservative excision using Er:YAG laser was performed. Complete removal was obtained. There were no postoperative complications. The histopatologic features were consistent with the diagnosis of central odontogenic fibroma of rich-epithelium type. No recurrence was observed during follow-up.

scholarly journals Central Odontogenic Fibroma: characteristics and management

2021 ◽  
Vol 27 (2) ◽  
pp. 25
Author(s):  
Sabrina Bennabi ◽  
Philippe Lesclous ◽  
Alexandra Cloitre
Keyword(s):  
Systematic Review ◽  
Malignant Transformation ◽  
Recurrence Rate ◽  
Recent Change ◽  
Review Of The Literature ◽  
Odontogenic Tumour ◽  
Odontogenic Fibroma ◽  
Central Odontogenic Fibroma

Introduction: Central Odontogenic Fibroma (COF) is a rare benign odontogenic tumour of the jaws. Until its recent change in classification by the WHO in 2017, this entity has gone without an agreed upon definition for many years. For this reason, COF would remain largely unknown to practitioners. Corpus: The pedagogical objectives of this article are, through a systematic review of the literature using the PRISMA methodology, to list the epidemiological, aetiological, clinical, radiological, histological, therapeutic and prognostic characteristics of COF. All the data collected made it possible to establish a COF management summary for practitioners in order to optimize it. Conclusion: Based on the 135 cases listed, it appears that surgical enucleation is the treatment of choice for COF. The recurrence rate is low and malignant transformation has never been reported. However, regular clinical and radiological follow-up of patients over several years seems to be a justified precaution.

scholarly journals Surgery of cholesteatoma: Surgical technique and cholesteatoma recurrences

2004 ◽  
Vol 51 (1) ◽  
pp. 103-107
Author(s):  
Nenad Arsovic ◽  
Radomir Radulovic ◽  
Snezana Jesic ◽  
S. Krejovic-Trivic ◽  
P. Stankovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Complete Removal ◽  
Initial Surgery ◽  
Group I ◽  
Number Of Patients ◽  
Significant Difference ◽  
Diffuse Form ◽  
Surgical Failure

Past experience with open and closed techniques of tympanoplasty in surgery of cholesteatoma has shown that recurring illness is one of the major causes of surgical failure. The literature has reported varying trend of surgical treatment of cholesteatoma. The objective of the study was to analyze the significance of surgical technique in relation to the incidence and most frequent localization of recurrent cholesteatoma. Our study analyzed 120 patients operated on for cholesteatoma. The patients were divided into two groups, group I (45) with recurring disease and group II (75) without any recurring condition, which were followed up three years. Statistical analysis was carried out by modified t-test. The largest number of patients was re-operated in the first two years from the initial surgery (50%), In the majority of patients (50%), recurrent cholesteatoma was most commonly localized (stage I) in attic (20%) and much rarely in mesotympanum (11,9%). Stage III recurrent cholesteatoma was verified in 35% of patients, most frequently diffuse form (13,4%). The involvement of attic by all three stages of disease accounted for over 60%. The analysis of the used techniques of surgical treatment in both groups revealed significant difference. Open techniques of tympanoplasty were used in 60% of patients with no recurrence. Closed techniques were used more frequently in patients with recurring disease, i.e. in over 90% of cases. Recurrent cholesteatoma develops, in the majority of cases, during the first two years after the surgical intervention. Attic is the most common localization of cholesteatoma. More frequent utilization of open technique of tympanoplasty for surgery of cholesteatoma significantly reduces the incidence of recurring condition. The indications for CWD technique are the initial spread of cholesteatoma, possibility of complete removal of cholesteatoma and postoperative follow-up of patients.

Central odontogenic fibroma with osteoid formation showing atypical radiographic appearance

2009 ◽  
Vol 38 (6) ◽  
pp. 426-430 ◽  
Author(s):  
M Araki ◽  
S Nishimura ◽  
N Matsumoto ◽  
M Ohnishi ◽  
H Ohki ◽  
...  
Keyword(s):  
Radiographic Appearance ◽  
Odontogenic Fibroma ◽  
Central Odontogenic Fibroma ◽  
Osteoid Formation

scholarly journals Central odontogenic fibroma: a case report with long-term follow-up

2010 ◽  
Vol 6 (1) ◽  
Author(s):  
Marco T Brazão-Silva ◽  
Alexandre V Fernandes ◽  
Antônio F Durighetto-Júnior ◽  
Sérgio V Cardoso ◽  
Adriano M Loyola
Keyword(s):  
Case Report ◽  
Odontogenic Fibroma ◽  
Long Term Follow Up ◽  
Central Odontogenic Fibroma

A typical Odontogenic Neoplasm: Peripheral Odontogenic Fibroma

2017 ◽  
Vol 9 (2) ◽  
pp. 35-38
Author(s):  
Belure Vinita V ◽  
Baron Tarun Kumar A ◽  
Gowda Triveni M ◽  
Mehta Dhoom S
Keyword(s):  
Young Female ◽  
Soft Tissue Healing ◽  
Radiographic Appearance ◽  
Tumor Pathology ◽  
Biopsy Specimens ◽  
Tissue Healing ◽  
Odontogenic Fibroma ◽  
Different Types ◽  
Odontogenic Neoplasm

There appears to be similarities between the clinical appearances of different types of gingival overgrowths. The WHO type peripheral odontogenic fibroma (POdF) is an unusual benign odontogenic neoplasma of the gingiva. It is considered to be an extraosseous counterpart of the central odontogenic fibroma (COF). Among all biopsy specimens, POdF comprehend only upto 0.05%. Odontogenic fibromas are rare but still they provide a noteworthy diagnostic and therapeutic challenge. Along with clinical, radiographic appearance, and histologic features, a sound knowledge on biologic behavior of rare gingival overgrowths would ensure an accurate diagnosis of tumor pathology. We present here a case report of POdF that occurred in a young female patient in anterior interdental region displacing the tooth. Platelet rich fibrin (PRF) was used to stimulate soft tissue healing. Two year follow up showed satisfactory healing with no recurrence.

Outcome after Thymectomy for Myasthenia Gravis: A Retrospective Review

1992 ◽  
Vol 37 (4) ◽  
pp. 103-106 ◽  
Author(s):  
P. Mathew ◽  
R.J. Cuschieri ◽  
H.I. Tankel
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Myasthenia Gravis ◽  
Complete Removal ◽  
Complete Excision ◽  
Operative Morbidity ◽  
Transcervical Approach ◽  
Significant Difference ◽  
Clinically Significant

This is a retrospective study of 54 patients, who in the period November 1977 to November 1986 underwent thymectomy as treatment for myasthenia gravis. Patients in whom difficulty attempting complete excision of the gland was anticipated were selected for a transthoracic procedure. All others underwent an initial transcervical approach, proceeding to an upper sternal splitting incision if further access was required to remove adequately a large gland. The sample was split almost equally between the two surgical procedures. Patients in the transthoracic group were significantly older and experienced significantly greater peri-operative morbidity or mortality. There was no significant difference in outcome between the two groups, 52% achieving a good result (defined as remission or clinically significant improvement of symptoms) that was sustained over the five year follow-up period. In our opinion, complete removal of the thymus should be the goal of surgical treatment for myasthenia gravis.

scholarly journals Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review

2021 ◽  
Author(s):  
Pradipta Ramgonda Patil ◽  
Hirkani Attarde ◽  
Priyanka Prakash Kamble ◽  
Sangeeta Patankar ◽  
Gokul Sridharan
Keyword(s):  
Histopathological Examination ◽  
Dentigerous Cyst ◽  
Odontogenic Tumour ◽  
Odontogenic Epithelium ◽  
Microscopic Evaluation ◽  
Patient Reported ◽  
Hybrid Variety ◽  
Brownish Black ◽  
Adenomatoid Odontogenic Tumour

Adenomatoid Odontogenic Tumour (AOT) is a relatively uncommon benign odontogenic tumour composed of odontogenic epithelium in a variety of histoarchitectural patterns. Conventional AOT is predominantly seen in females in second decade of life exhibiting predilection for anterior region of maxilla. Very few cases of AOT associated with dentigerous cyst have been reported till date. The present case is unique associated with an impacted lower first premolar in the front region of the mandible of an 18-year-old female patient. The patient reported to the institute with gradually increasing swelling. The orthopantomogram revealed a unilocular radiolucency with displaced premolar. Histopathological examination confirmed 4×2.5×2 cm lesion in dimension, brownish black in colour, firm in consistency with a smooth surface grossly while cut surface revealed a cystic lumen with an impacted premolar embedded into the lining, cystic wall being nodular. Microscopic evaluation revealed a well encapsulated lesion with a thin 2-3 cell layered non keratinised stratified epithelial lining in patterns such as nests, rosette like structures and duct like structures. Thus the diagnosis of AOT arising from dentigerous cyst was confirmed. Patient's six month follow-up was uneventful. Literature search of similar cases with the review of hypothesised aetiopathogenesis is discussed in brief. The available data can help researchers resolve the uncertainty whether the AOT derived from dentigerous cyst could represent a distinct hybrid variety.

Central Odontogenic Fibroma with an Eight-Year Follow-Up

2018 ◽  
Vol 126 (3) ◽  
pp. e112-e113
Author(s):  
Camila De Nazaré Alves De Oliveira Kato ◽  
Mariana Saturnino De Noronha ◽  
Felipe Paiva Fosenca ◽  
Tarcília Aparecida Da Silva ◽  
Ricardo Alves Mesquita
Keyword(s):  
Odontogenic Fibroma ◽  
Central Odontogenic Fibroma
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