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Article Type

Article

Abstract

Objectives: To outline the differentiation, diagnosis and management of different types of fibro-osseous lesions of the maxillofacial region depending on retrospective basis in the previous four years.

Methods: A Retrospective study of 10 patients where all patients were diagnosed as having fibro-osseous lesions of the maxillofacial region including fibrous dysplasia, cemento-ossifying fibroma, cherubism, giant cell tumor and Paget disease. There was no age-related contraindication. Patients' age ranged from 10 to 52 years. They were 7 females and 3 males.

Results: The mean age was 25.4 years (range: 10 – 52 years). There were 7 females and 3 males. The most frequent location was the maxilla (7 cases). The presenting features were nasal obstruction (7 of 10), facial deformity (6 of 10), proptosis (1 of 10) and decreased vision in 1 case. There were 5 cases of fibrous dysplasia, 2 cases of cement-ossifying fibroma, 1 case of giant cell tumor, 1 case of cherubism and 1 case of Paget disease. Different surgical techniques were used in our study including: endoscopic excision used in 3 cases, endoscopic debulking used in 3 cases, Caldwell-Luc's operation used in one case, and partial maxillectomy `used in one case.

Conclusion: Radiology is central to the diagnosis of fibro-osseous lesions because the pathology for all of them is similar. Their treatment is highly individualized depending on the type of the lesion and its biological behavior, aggressiveness of the lesion and clinical presentation of the patient. Endoscopy plays an important role in the surgical management of fibro-osseous lesions.

Keywords: Fibro-osseous lesions, radiology, endoscopic excision.

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