Multidisciplinary approach in the treatment of ossifying fibroma: Case report
DOI:
https://doi.org/10.33448/rsd-v9i10.8833Keywords:
Ossifying fibroma; Facial asymmetry; Mandible; Deficiency diseases.Abstract
Ossifying fibroma is a type of fibro-bone lesion characterized by asymptomatic volumetric increase, of slow evolution, which can reach large dimensions resulting in facial asymmetry, causing tooth displacement and functional impairment of the stomatognathic system structures. The purpose of this article was to the clinical report a case of a female patient, seen at the University Clinic, with a complaint of a volumetric increase in the right mandibular region with an evolution of approximately 1 (one) year. Before the total excision of the lesion, an incisional biopsy was performed with the diagnosis of ossifying fibroma. Due to the proportions of the lesion, the patient presented dysphagia, which resulted in an anemic condition, requiring normalization of the condition prior to the total excision of the lesion.
After 6 months of follow-up, the patient showed significant improvement in the shape and function of the operated region, in addition to the nutritional deficiency. The assessment of the patient's nutritional status is extremely important, should not be neglected, since malnutrition is directly linked to the evolution of the disease, and interferes with postoperative recovery.
References
Abou-Elhamd K. E. (2005). Frontal sinus cementifying ossifying fibroma. Saudi medical journal, 26(3), 470–472.
Allison S. P. (2000). Malnutrition, disease, and outcome. Nutrition (Burbank, Los Angeles County, Calif.), 16(7-8), 590–593.
Bala, T. K., Soni, S., Dayal, P., & Ghosh, I. (2017). Cemento-ossifying fibroma of the mandible. A clinicopathological report. Saudi medical journal, 38(5), 541–545.
da Silveira, D. T., Cardoso, F. O., E Silva, B. J., E Alves Cardoso, C. A., & Manzi, F. R. (2015). Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered. Revista brasileira de ortopedia, 51(1), 100–104.
de Amorim, A. C., Costa, M. D., Nunes, F. L., da Silva, M., de Souza Leão, C., & Gadelha, P. C. (2015). Nutritional status and perioperative fasting time versus complications and hospital stay of surgical patients. Nutricion hospitalaria, 32(2), 878–887.
Debaveye, Y., & Van den Berghe, G. (2006). Risks and benefits of nutritional support during critical illness. Annual review of nutrition, 26, 513–538.
Gurol, M., Uckan, S., Guler, N., & Yatmaz, P. I. (2001). Surgical and reconstructive treatment of a large ossifying fibroma of the mandible in a retrognathic patient. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 59(9), 1097–1100.
Kerckhaert, A., Wolvius, E., van der Wal, K., & Oosterhuis, J. W. (2005). A giant osteoma of the mandible: case report. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 33(4), 282–285.
Kyle, U. G., Pirlich, M., Lochs, H., Schuetz, T., & Pichard, C. (2005). Increased length of hospital stay in underweight and overweight patients at hospital admission: a controlled population study. Clinical nutrition (Edinburgh, Scotland), 24(1), 133–142.
Mergoni, G., Meleti, M., Magnolo, S., Giovannacci, I., Corcione, L., & Vescovi, P. (2015). Peripheral ossifying fibroma: A clinicopathologic study of 27 cases and review of the literature with emphasis on histomorphologic features. Journal of Indian Society of Periodontology, 19(1), 83–87.
Lama More R. A. (2001). Metodología para valorar el estado nutricional [Methodology for evaluating nutritional status]. Anales espanoles de pediatria, 55(3), 256–259.
Neville, B., Damm, D. D., Allen, C., & Chi, A. (2016). Soft Tissue Tumors (3a ed.). Oral and Maxillofacial Pathology. Saunders.
Ogbureke, K. U., Nashed, M. N., & Ayoub, A. F. (2007). Huge peripheral osteoma of the mandible: a case report and review of the literature. Pathology, research and practice, 203(3), 185–188.
Sarwar, H. G., Jindal, M. K., & Ahmad, S. (2010). A case report of cemento-ossifying fibroma. Journal of maxillofacial and oral surgery, 9(2), 178–181.
Zachariades, N., Vairaktaris, E., Papanicolaou, S., Triantafyllou, D., Papavassiliou, D., & Mezitis, M. (1984). Ossifying fibroma of the jaws. Review of the literature and report of 16 cases. International journal of oral surgery, 13(1), 1–6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Luara Teixeira Colombo; Laís Kawamata de Jesus; Ana Flávia Piquera Santos; Henrique Hadad; Everton Pontes Martins; Idelmo Rangel Garcia Júnior; Francisley Ávila Souza
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
