Ossifying fibroma: analysis of treatment methods and recurrence patterns

Publication date: Available online 24 May 2016
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Fadi Titinchi, Jean Morkel
PurposeOssifying fibroma (OF) is one of the most frequent of the three fibro-osseous lesions of the jaws and has inconstant recurrence rate while a definitive surgical protocol is lacking in the literature. The aim of this study was to determine the clinical and radiological features of OF at a tertiary hospital in South Africa as well as to assess its management and recurrence patterns and develop a surgical protocol.MethodsA retrospective case series analysis was performed of all histopathologically diagnosed OF cases from 1976 – 2014. Demographic data, clinical presentation and radiographic features were analyzed. Management of each case and follow-up was also documented. A surgical protocol was developed based on these findings.ResultsA total 61 cases were included in the study. The majority of patients were females (63.9%) and below 40 years of age (73.9%) while only few cases were symptomatic (29.5%). The mandibular posterior region was most affected (55.5%) and majority of lesions were radio-opaque (49.2%) and had well-defined margins (93.6%). Most cases were managed by surgical curettage (68.2%). Following an average follow-up period of 20 months only one case recurred (recurrence rate= 6.7%).ConclusionLesions in this population were more radio-opaque and larger in size than in the reported literature. Surgical curettage is an acceptable management protocol with low rate of recurrence while resection should be reserved for aggressive and recurrent lesions.



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