一名7岁女孩的大型成釉细胞纤维牙瘤及108例病例分析
Large ameloblastic fibro-odontoma in a 7-year-old girl with analysis of 108 cases.
作者信息
Kirjavainen Antti, Tuovinen Veikko, Sándor George K
机构信息
Department of Oral and Maxillofacial Surgery, Jyväskylä Central Hospital, Jyväskylä, Finland.
Department of Oral and Maxillofacial Surgery, Medical Research Center, Oulu University Hospital, Institute of Dentistry, University of Oulu, Oulu; BioMediTech, Institute of Bioscience and Technology, University of Tampere, Tampere, Finland.
出版信息
Ann Maxillofac Surg. 2016 Jan-Jun;6(1):15-20. doi: 10.4103/2231-0746.186132.
BACKGROUND
Odontogenic tumors such as ameloblastic fibro-odontoma (AFO) are rare conditions in children and are often asymptomatic. AFOs are found by routine clinical and radiological examination or when they cause obvious intra- or extra-oral swelling.
MATERIALS AND METHODS
A case of an AFO in a 7-year-old girl is described, and 107 cases from the literature and this report are analyzed.
RESULTS
The total of 108 cases revealed the average age at presentation of AFO to be 6.3 years in boys and 9.6 years in girls. There was a slight male predilection and AFO lesions most often occurred in the posterior mandible. AFO was almost always associated with an unerupted tooth or teeth.
CONCLUSIONS
While the recurrence rate of AFO was found to be 5.5%, long-term postoperative clinical and radiological follow-up is advised to ensure no future signs of aggressive recurrence.
背景
牙源性肿瘤，如成釉细胞纤维牙瘤（AFO），在儿童中较为罕见，且通常无症状。AFO通过常规临床和影像学检查发现，或在其引起明显的口腔内或口腔外肿胀时被发现。
材料与方法
描述了1例7岁女孩患AFO的病例，并对文献及本报告中的107例病例进行了分析。
结果
108例病例显示，AFO患者的平均就诊年龄为男孩6.3岁，女孩9.6岁。男性略占优势，AFO病变最常发生在下颌后部。AFO几乎总是与一颗或多颗未萌出的牙齿相关。
结论
虽然发现AFO的复发率为5.5%，但建议术后进行长期的临床和影像学随访，以确保未来没有侵袭性复发的迹象。
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