中央性骨化性纤维瘤的保守治疗

Conservative Management of Central Cemento-Ossifying Fibroma.

作者信息

Gomes-Ferreira Pedro Henrique Silva, Carrasco Leandro Carlos, de Oliveira Danila, Pereira Járede Carvalho, Alcalde Luis Fernando Azambuja, Faverani Leonardo Perez

机构信息

*Division of Oral and Maxillofacial Surgery, Department of Surgery and Integrated Clinic, Aracatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho-UNESP, Araçatuba †Medical Sciences, Faculty of Medical Sciences, University of Campinas-Unicamp, Campinas ‡Department of Basic Sciences, Araçatuba Dental School, University Estadual Paulista, (UNESP) §Department of Implantology, Aracatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho-UNESP, Araçatuba ||Division of Oral and Maxillofacial Surgery, Bauru Dental School, University of Sao Paulo-USP, Bauru, Brazil.

出版信息

J Craniofac Surg. 2017 Jan;28(1):e8-e9. doi: 10.1097/SCS.0000000000003156.

DOI:10.1097/SCS.0000000000003156

PMID:27831973

Abstract

Central cemento-ossifying fibroma is characterized by the combined production of osteoid and cementoid tissue. Radiographically, this lesion is presented as an outlined cortical and variable radiopaque spots, also can be present complete radiolucent or different degrees of radiopacity. The recommended treatment is curettage or enucleation, and the recurrence rate is less than 5%. Considering that surgical treatment is invasive, mainly in large lesions, this study aims to report a patient in whom conservative treatment was carried out by involving the preservation of teeth, with a long-term follow-up. A 48-year-old black female patient, diagnosed with central cemento-ossifying fibroma in mandible, treated conservatively and a 2 years of follow-up. It was concluded that the conservative treatment with a long term of follow-up for maintaining teeth was satisfactory.

摘要

中央性骨化纤维瘤的特征是同时产生类骨质和牙骨质组织。在影像学上，该病变表现为边界清晰的皮质骨和不同程度的不透射线斑点，也可能完全呈透射性或不同程度的不透射线性。推荐的治疗方法是刮除术或摘除术，复发率低于5%。考虑到手术治疗具有侵入性，主要针对较大病变，本研究旨在报告一名通过保留牙齿进行保守治疗并长期随访的患者。一名48岁的黑人女性患者，被诊断为下颌骨中央性骨化纤维瘤，接受了保守治疗并随访2年。结论是，通过长期随访以保留牙齿的保守治疗效果令人满意。