Citation Information :
Hosmani J, Nayak R, Nayak R, Jayade B. Juvenile Ossifying Fibroma in a Juvenile Diabetic: A Case Report with Surgical Management. World J Dent 2010; 1 (1):59-64.
Juvenile ossifying fibroma (JOF) is a highly aggressive uncommon fibro-osseous lesion occurring in the facial bones. Two histological variants of JOF, i.e. trabecular and psammomatoid have been reported. Here we present a case of a 20-year-old juvenile diabetic patient with massive growth on her left side of the jaw which was diagnosed as juvenile ossifying fibroma. This huge aggressive mass in the left side of the mandible had lead to complete lingual tilting of molars and premolars. After clinical and radiological examination, a biopsy led to the histopathological diagnosis of mixed variant of juvenile ossifying fibroma. The required surgical treatment (hemimandibulectomy) was undertaken under GA. The aggressive local behavior and high recurrence rate of JOF emphasizes the need for an early diagnosis, and appropriate radical treatment with long-term follow-up. One such case is reviewed and discussed in detail in the following article.
Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas: I. a pathologic spectrum of 316 cases. Oral surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:301-09.
Benign fibro-osseous lesions: A review of current concepts. Adv Anat Pathol 2001;8:126-43.
Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg 1985;43:249-62.
Fibro-osseous lesions of the jaws. J Oral Maxillofac Surg 1993;51:828-35.
World Health Organization classification of tumors. Pathology & genetics of head and neck tumours. Lyon: IARC Press 2005;319-22.
Psammomatoid and trabecular juvenile ossifying fibroma of the craniofacial skeleton: Two distinct clinicopathologic entities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:296-304.
World health organisation international histological classification of tumours. Histological typing of odontogenic tumours (2 ed). Berlin: Germany, Springer-Verlag; 1992;28.
Odontogenic fibroma. Report of two cases. Oral Surg Oral Med Oral Pathol 1966;21:113-19.
Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med 1994;23:385-88.