Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-04T19:24:53.278Z Has data issue: false hasContentIssue false

Fibro-osseous lesions of the cranio-facial bones

Published online by Cambridge University Press:  29 June 2007

Abstract

Summary

A BRIEF review of cranio-facial fibro-osseous lesions in given and 15 cases of fibrous dysplasia and ossifying fibroma are presented with clinical, radiological and histomorphological findings. After histological verification of the fibro-osseous nature of the process, 5 lesions were diagnosed on a radiological basis as fibrous dysplasia exhibiting diffuse (blending) margins, while the diagnosis of ossifying fibroma was given to 10 radiologically sharply-demarcated lesions. Both groups of lesions presented the same histomorphological features, although to a varying degree. Spheroidal calcifications, however, were identified in ossifying fibroma only, but not in all of these. Thus, the differential diagnosis of fibrous dysplasia versus ossifying fibroma rests on a radiological creiterion after the histopathologist has verified the fibro-isseiys nature of a lesion. The observation times varied from 1 ½ to 34 years. Two cases of fibrous dysplasia and 3 cases of ossifying fibroma recurred. In one case of fibrous dysplasia an osteosarcoma developed 33 years after irradiation. Pain was a common symptom in the present material.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1979

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Albright, F., Butler, A. M., Hamton, A. O. and Smith, P. (1937) Syndrome characterized by osteitis fibrosa disseminata areas of pigmentation and endocrine dysfunction with precocious puberty in females. Report of five cases. New England Journal of Medicine, 216, 727746.CrossRefGoogle Scholar
Cangiano, R., Stratigos, G. T., and Williams, F. A. (1971) Clinical and radiographic manifestations of fibro-osseous lesions of the jaws: report of five cases. Journal of Oral Surgery, 29, 872881.Google ScholarPubMed
Chitale, A. R., and Masalawala, K. S. (1971) Fibrous dysplasia of bone. The Indian Journal of Cancer, 8, 147156.Google ScholarPubMed
Dahlgren, S. E., Lind, P. O., Likdbom, Â. and Mårtensson, G. (1969) Fibrous dysplasia of jaw bones. Ada oto-laryngologica. (Stockh.), 68, 257270.CrossRefGoogle ScholarPubMed
Dehner, L. P. (1973) Tumours of the mandible and maxilla in children. I. Clinicopathologic study of 46 histologically benign lesions. Cancer, 31, 346384.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
Eversole, L. R., Sabes, W. R. and Rovin, S. (1972) Fibrous dysplasia. A nosologic problem in the diagnosis of fibro-osseous lesions of the jaws. Journal of oral Pathology, 1, 189220.CrossRefGoogle ScholarPubMed
Hamner, J. E., Schofield, H. H. and Cornyn, J. (1968) Benign fibro-osseous lesions of periodontal membrane origin: an analysis of 249 cases. Cancer, 22, 861878.3.0.CO;2-C>CrossRefGoogle ScholarPubMed
Huvos, A. G., Higinbotham, N. L. and Miller, T. R. (1972) Bone sarcomas arising in fibrous dysplasia. Journal Bone and Joint Surgery, 1, 10471056.CrossRefGoogle Scholar
Jaffe, H. L. (1953) Giant-cell reparative granuloma, traumatic bone cyst and fibrous (fibro-osseous) dysplasia of the jaw bones. Oral Surgery, 6, 159175.CrossRefGoogle Scholar
Kârjâ, J. and Râsânen, O. (1972) Fibrous dysplasia of the jaw bones. Acta oto-laryngologica, (Stockh.), 74, 130138.CrossRefGoogle ScholarPubMed
Kent, J. N., Castro, H. F. and Girotti, W. R. (1969) Benign osteoblastoma of the maxilla; case report and review of the literature. Oral Surgery, 27, 209219.CrossRefGoogle ScholarPubMed
Kramer, I. R. H, (1973) The histopathology of some central non-odontogenic tumors and tumor-like conditions of the jaws. Transactions of the international conference of oral surgery, 4, 2832.Google Scholar
Lichtenstein, L. (1938) Polyostotic fibrous dysplasia. Archives of Surgery, 36, 847898.CrossRefGoogle Scholar
Lichtenstein, L. (1970) Diseases of bone and joints. Saint Louis, C. V. Mosby Comp.Google Scholar
Lichtenstein, L. (1942) Fibrous dysplasia of bone. A condition affecting one, several or many bones, the graver cases of which may present abnormal pigmentation of skin, premature sexual development, hyperthyroidism or still other extraskeletal abnormalities. Archives of Pathology, 33, 777816.Google Scholar
Montgomery, A. H. (1927) Ossifying fibroma of the jaw. Archives of Surgery, 15, 3044.CrossRefGoogle Scholar
Obwegeser, H. L., Freihofter, H. P. M. Jr. and Horejs, J. (1973) Variations of fibrous dysplasia in the jaws. Journal of Maxillo-facial Surgery, 1, 161171.CrossRefGoogle ScholarPubMed
Pound, E., Pickrell, K., Huger, W. and Barnes, W. (1965) Fibrous dysplasia (ossifying fibroma) of the maxilla: Analysis of 14 cases. Annals of Surgery, 161, 406410.CrossRefGoogle ScholarPubMed
Reed, R. J. (1963) Fibrous dysplasia of bone. Archives of Pathology, 75, 480495.Google ScholarPubMed
Schlumberger, H. G. (1946) Fibrous dysplasia of single bones (monostotic fibrous dysplasia). Military Surgery, 99, 504527.CrossRefGoogle ScholarPubMed
Schmaman, A., Smith, I. and Ackerman, L. V. (1970) Benign fibro-osseous lesions of the mandible and maxilla; a review of 35 cases. Cancer, 26, 303312.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Schwartz, D. T. and Alpert, M. (1964) Malignant transformation in fibrous dysplasia. American Journal of Medical Science, 247, 120.CrossRefGoogle ScholarPubMed
Sherman, R. S. and Glauser, O. J. (1958) Radiological identification of fibrous dysplasia of the jaws. Radiology, 71, 553558.CrossRefGoogle ScholarPubMed
Smith, A. G. and Zavaleta, A. (1952) Osteomoa, ossifying fibroma and fibrous dysplasia of facial and cranial bones. Archives of Pathology, 54, 507527.Google ScholarPubMed
Smith, J. F. (1965) Fibrous dysplasia of the jaws. Archives of Otolaryngology, 81, 592603.CrossRefGoogle ScholarPubMed
Spjut, H. J., Dorfman, H. D., Fechner, R. E. and Ackerman, L. V. (1971) Tumors of bone and cartilage. Armed Forces Institute of Pathology Fascicle 5, Washington, D.C.Google Scholar
Tanner, H. C., Dahlin, D. C. and Childs, D. S. (1961) Sarcoma complicating fibrous dysplasia; probable role of radiation therapy. Oral Surgery, 14, 837846.CrossRefGoogle ScholarPubMed
Townsend, G. L. and Desanto, L. W. (1970) Malignant change in sphenoid sinus fibrous dysplasia. Archives of Otolaryngology, 92, 267271.CrossRefGoogle ScholarPubMed
Waldron, C. A. (1970) Fibro-osseous lesions of the jaws. Oral Surgery, 28, 5864.Google ScholarPubMed
Waldron, C. A. and Giansanti, J. S. (1973 a) Benign fibro-osseous lesions of the jaws: A clinical radiologic-histologic review of sixty-five cases. Part I. Fibrous dysplasia of the jaws. Oral Surgery, 35, 190201.CrossRefGoogle Scholar
Waldron, C. A. and Giansanti, J. S. (1973 b) Benign fibro-osseous lesions of the jaws: A clinical-radiologic-histologic review of sixty-five cases. Part II. Benign fibro-osseous lesions of periodontal ligament origin. Oral Surgery, 35, 340350.CrossRefGoogle Scholar
Ward, P. H., Alley, C. and Owen, R. (1969) Monostotic fibrous dysplasia of the maxilla. Laryngoscope, 79, 12951306.CrossRefGoogle ScholarPubMed