Khandaitkar Sandeep, Lamba Gagandeep, Kolte Vrinda, Shenoi Ramakrishna, Shukla Deepankar
Oral and Maxillofacial Surgery, Vidya Shikshan Prasark Mandal (VSPM) Dental College & Research Centre, Nagpur, IND.
Pediatric & Preventive Dentistry, Vidya Shikshan Prasark Mandal (VSPM) Dental College & Research Centre, Nagpur, IND.
Cureus. 2023 Mar 21;15(3):e36470. doi: 10.7759/cureus.36470. eCollection 2023 Mar.
Non-ossifying fibroma (NOF) is not prevelant in the mandible. It appears mostly in the long tubular bones in children and adolescents. We are presenting a case of a four-year-old girl reported to the maxillofacial department with painless swelling over the lower right side of the jaw. On the orthopantomogram (OPG), a well-defined multilocular radiolucency with a sclerotic margin was present. On computed tomography (CT), an expansile lytic lesion with cortical thinning without a breach in cortical continuity was noted. By correlating clinical and radiological features, a diagnosis of odontogenic and/or osteogenic lesion was made. The patient was considered for an excisional biopsy with curettage. On histopathology, NOF was confirmed. On postoperative follow-up, there was no sign of recurrence, and bone regeneration was significant.
非骨化性纤维瘤（NOF）在下颌骨中并不常见。它大多出现在儿童和青少年的长管状骨中。我们现报告一例4岁女孩，因下颌骨右侧无痛性肿胀到颌面科就诊。在全景曲面断层片（OPG）上，可见边界清晰的多房性透射区，边缘有硬化。在计算机断层扫描（CT）上，发现一个膨胀性溶骨性病变，皮质变薄，但皮质连续性未中断。通过综合临床和放射学特征，诊断为牙源性和/或骨源性病变。患者接受了切除活检及刮除术。组织病理学检查确诊为非骨化性纤维瘤。术后随访未见复发迹象，骨再生明显。
