scholarly journals PERIPHERAL OSSIFYING FIBROMA OF MANDIBULAR ANTERIOR GINGIVA IN A YOUNG BOY – A CASE REPORT

Author(s):  
Jayachandran S ◽  
Sophia Jeba Priya ◽  
Archana M

Peripheral ossifying fibroma is one of the common reactive oral lesions which accounts for about 9.6% of all gingival lesions. There is a predilection for females in the second to fourth decade of life. Most lesions are less than 2 cm in size, although larger ones occasionally occur. The raised lesion may appear smooth or ulcerated and most often is caused by constant irritation or trauma. The growth-like clinical presentation may lead to misclassification; however, the histologic appearance is quite diagnostic for this lesion. In this case report we are discussing the case of a young male patient with peripheral ossifying fibroma in the mandibular anterior region which was managed by complete surgical excision. Key Words: Peripheral ossifying fibroma, reactive lesion, mandibular gingiva

2016 ◽  
Vol 12 (12) ◽  
pp. 211
Author(s):  
Ahmed Ismail Nagy

Lipoma is a common tumor of soft tissue. Its location on the oral mucosa is rare, representing 1% to 5% of benign oral tumors although it is the most mesenchymal tumor of the trunk and proximal portions of extremities. Lipoma of the oral cavity may occur in any region. The buccal mucosa, tongue, and floor of the mouth are among the common locations. The clinical presentation is typically as an asymptomatic yellowish mass. The overlying epithelium is intact, and superficial blood vessels are usually evident over the tumor. Other benign connective tissue lesions such as granular cell tumor, neurofibroma, traumatic fibroma and salivary gland lesions (mucocele and mixed tumor) might be included in differential diagnosis. We present a case report of oral lipoma in the left side of the lower lip in 18 years old Saudi patient.


2021 ◽  
Vol 6 (3) ◽  
pp. 108-111
Author(s):  
Neha Saini ◽  
Varun Saini ◽  
Saurabh Jain ◽  
Tiny Jain

 Peripheral ossifying fibroma, first reported by Shepard in 1844 as alveolar exostosis, is a non-neoplastic reactive lesion arising as a focal exophytic mass exclusively on the gingiva originating from the interdental area and shows no bone involvement in most cases. The lesion shows propensity for maxilla and incisor-cuspid region with female predilection. The etiological factors include local factors causing gingival irritation like calculus, plaque, ill fitting dentures or orthodontic appliances; and hormonal influence, initiate exhuberant connective tissue response. The lesion shows high recurrence potential , necessitating proper identification, treatment and effective long-term recall protocol. This case report presents a relatively rare case of juvenile peripheral ossifying fibroma in relation to mandibular central & lateral incisors in an adolescent female child followed for upto 1 year after surgical excision  


2013 ◽  
Vol 4 (1) ◽  
pp. 42-44
Author(s):  
Mohammad Shah Kamal ◽  
Mohammad Ashik Anwar Bahar ◽  
MA Latif ◽  
Mehdi Mohammad Imtiaz Uddin Khan

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm that arises within the craniofacial bones in individuals under 15 years of age. It affects both males and females equally. It has the potential for excessive growth, bone destruction, and recurrence. It is more aggressive than ossifying fibroma. Recurrence rate ranges from 30% to 58% .We report a case of 11-year-old male child presented with a painless, progressive swelling of the right face for 8 months. CT scan demonstrated a well-defined, mixed-density mass filling the right maxillary sinus. Under general anaesthesia, surgical excision of the tumour was performed. Histopathologically, excised specimen was identical with fibro-osseous lesion. Juvenile ossifying fibroma (JOF) is aggressive in nature and recurrence rate is high, so early detection and complete surgical excision is essential. DOI: http://dx.doi.org/10.3329/akmmcj.v4i1.13685 AKMMC J 2013: 4(1): 42-44


2019 ◽  
Vol 52 (4) ◽  
pp. 204
Author(s):  
Ganendra Anugraha ◽  
Ni Putu Mira Sumarta

Background: Peripheral ossifying fibroma is a rejuvenation of the reactive gingiva, usually occurring in the anterior maxillary gingiva. The condition is often clinically ambiguous when diagnosed on the basis of gingival hyperplastic lesions such as focal fibrous hyperplasia, peripheral giant cell granuloma, peripheral fibroma and pyogenic granuloma because peripheral ossifying fibroma has a tendency to recur with a ratio of around 20%. The literature on the subject predominantly classifies peripheral osifying fibroma as an epulis type, but it has also been identified as a peripheral mesenchymal tumor presenting similar clinical symptoms to ossified fibrous epulis. Purpose: The purpose of this article is to explain the rare case of peripheral ossifying fibroma in the anterior maxillary gingiva which can be clinically misdiagnosed as reactive gingival hyperplastic lesions. Case: A case report of peripheral ossifying fibroma in the left lateral incisor and canine of the maxillary gingiva in a 26 year-old male. The patient chiefly complained of a painless, slow growing gingival enlargement on the upper left jaw during the previous five years. Clinical examination confirmed it to be a single, hard swelling in the 21-24 region, pale in color and with a rough surface. Case management: The procedure constituted a complete surgical excision of the lesion together with the underlying periosteum curettage intended to prevent recurrence. The histopathologic examination results indicated tissue with squamous epithelial lining, stroma consisting of fibroblasts, and immature trabecula with osteoblastic rimming between collagen tissue without signs of malignancy. Osteoblastic rimming has specific features in histopathologic examination of ossifying fibroma. Conclusion: Peripheral ossifying fibroma is a rare solitary enlargement in the oral cavity frequently misdiagnosed as ossified fibrous epulis. A definitive diagnosis is made by means of histopathologic examination. The condition has a low reccurance rate.


Author(s):  
ERASMO BERNARDO MARINHO ◽  
THALES SALLES ANGELIM VIANA ◽  
PAULO GOBERLANIO DE BARROS SILVA ◽  
MÁRIO ROGÉRIO LIMA MOTA ◽  
FABRICIO BITU SOUSA ◽  
...  

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.


2017 ◽  
Vol 124 (2) ◽  
pp. e102-e103
Author(s):  
MARCÍLIO PONTES DE SOUZA ◽  
ZINALTON GOMES DE ANDRADE ◽  
CAMILA TATYANNE SANTOS DE FREITAS ◽  
SARA OLIVEIRA SANTOS ◽  
FRANCISCO AMADIS BATISTA ◽  
...  

1970 ◽  
Vol 9 (1) ◽  
pp. 49-52
Author(s):  
NTH Syarifah ◽  
AR Roselinda ◽  
M Irfan

Juvenile ossifying fibroma (JOF) is an uncommon, benign, bone-forming neoplasm with aggressive local growth that is distinguished from other fibro-osseous lesions primarily by its age of onset, clinical presentation and potential behaviour. We reported a 10 year old girl presenting with a growth in the left upper buccal gingiva which later was diagnosed as juvenile ossifying fibroma. The nature of the disease and outline of management were discussed. Keywords: Ossifying fibroma; Juvenile; Maxilla. DOI: 10.3329/bjms.v9i1.5231 Bangladesh Journal of Medical Science Vol.09 No.1 Jan 2010 49-52


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