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Central odontogenic fibroma (simple type) in a four-year-old boy: atypical cone-beam computed tomographic appearance with periosteal reaction.

Anbiaee N, Ebrahimnejad H, Sanaei A - Imaging Sci Dent (2015)

Bottom Line: Cone-beam computed tomography showed expansion and perforation of the adjacent cortical bone plates.A periosteal reaction with the Codman triangle pattern was clearly visible in the buccal cortex.No recurrence was noted.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Radiology, Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT
Central odontogenic fibroma (COF) is a rare benign tumor that accounts for 0.1% of all odontogenic tumors. A case of COF (simple type) of the mandible in a four-year-old boy is described in this report. The patient showed asymptomatic swelling in the right inferior border of the lower jaw for one week. A panoramic radiograph showed a poorly-defined destructive unilocular radiolucent area. Cone-beam computed tomography showed expansion and perforation of the adjacent cortical bone plates. A periosteal reaction with the Codman triangle pattern was clearly visible in the buccal cortex. Since the tumor had destroyed a considerable amount of bone, surgical resection was performed. No recurrence was noted.

No MeSH data available.


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A six-month follow-up panoramic radiograph shows the patient's stable condition with no recurrence.
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Figure 8: A six-month follow-up panoramic radiograph shows the patient's stable condition with no recurrence.

Mentions: Since the tumor had destroyed a considerable amount of bone, surgical resection and bone grafting were performed (Fig. 6). The surgical procedure consisted of segmental resection of the mandible with immediate bone grafting reconstruction via the intraoral route. The autogenous bone was harvested from the iliac crest. The histopathology of the postoperative tissue was consistent with the incisional biopsy diagnosis. Following the resection, the patient was maintained on systemic antibiotics but this failed to prevent infection. The graft site was infected after one month and the infected bone graft was removed (Fig. 7). Graft failure was most likely due to wound dehiscence and bone exposure. A six-month follow-up panoramic radiograph showed that the patient's condition was stable, with no recurrence (Fig. 8).


Central odontogenic fibroma (simple type) in a four-year-old boy: atypical cone-beam computed tomographic appearance with periosteal reaction.

Anbiaee N, Ebrahimnejad H, Sanaei A - Imaging Sci Dent (2015)

A six-month follow-up panoramic radiograph shows the patient's stable condition with no recurrence.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4483617&req=5

Figure 8: A six-month follow-up panoramic radiograph shows the patient's stable condition with no recurrence.
Mentions: Since the tumor had destroyed a considerable amount of bone, surgical resection and bone grafting were performed (Fig. 6). The surgical procedure consisted of segmental resection of the mandible with immediate bone grafting reconstruction via the intraoral route. The autogenous bone was harvested from the iliac crest. The histopathology of the postoperative tissue was consistent with the incisional biopsy diagnosis. Following the resection, the patient was maintained on systemic antibiotics but this failed to prevent infection. The graft site was infected after one month and the infected bone graft was removed (Fig. 7). Graft failure was most likely due to wound dehiscence and bone exposure. A six-month follow-up panoramic radiograph showed that the patient's condition was stable, with no recurrence (Fig. 8).

Bottom Line: Cone-beam computed tomography showed expansion and perforation of the adjacent cortical bone plates.A periosteal reaction with the Codman triangle pattern was clearly visible in the buccal cortex.No recurrence was noted.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Radiology, Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT
Central odontogenic fibroma (COF) is a rare benign tumor that accounts for 0.1% of all odontogenic tumors. A case of COF (simple type) of the mandible in a four-year-old boy is described in this report. The patient showed asymptomatic swelling in the right inferior border of the lower jaw for one week. A panoramic radiograph showed a poorly-defined destructive unilocular radiolucent area. Cone-beam computed tomography showed expansion and perforation of the adjacent cortical bone plates. A periosteal reaction with the Codman triangle pattern was clearly visible in the buccal cortex. Since the tumor had destroyed a considerable amount of bone, surgical resection was performed. No recurrence was noted.

No MeSH data available.


Related in: MedlinePlus