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外周骨化性纤维瘤的手术治疗:两例报告

Surgical Management of Peripheral Ossifying Fibroma: A Report of Two Cases.

作者信息

Pandey Ruchi, Palwankar Pooja

机构信息

Periodontology, Manav Rachna Dental College, School of Dental Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, IND.

出版信息

Cureus. 2024 Sep 11;16(9):e69190. doi: 10.7759/cureus.69190. eCollection 2024 Sep.

Abstract

A nonneoplastic lesion of uncertain origin most likely occurring due to connective tissue cells of the periodontal ligament (PDL) is referred to as peripheral ossifying fibroma (POF). It has an exorbitant recurrence rate; therefore, proper diagnosis based on clinical, radiological, and histopathological investigations is a must along with an appropriate treatment plan, and follow-up of the patient is very important to avoid further recurrence. In the present case series, there was a recurrence of the lesion in the first case, a surgical method using a scalpel to excise the tissue with ample curettage till the surface of the bone was felt, followed by electrocoagulation. In the second case, surgical excision was done using a scalpel, and electrocautery was used to arrest bleeding. There was no recurrence reported till one year of follow-up.

摘要

一种起源不明的非肿瘤性病变,很可能是由于牙周膜(PDL)的结缔组织细胞引起的,被称为外周骨化性纤维瘤(POF)。它具有极高的复发率;因此,基于临床、放射学和组织病理学检查进行正确诊断,并制定合适的治疗方案,对患者进行随访以避免进一步复发非常重要。在本病例系列中,第一例病变出现了复发,采用手术刀切除组织并充分刮除直至感觉到骨表面,随后进行电凝。第二例采用手术刀进行手术切除,用电灼止血。随访一年未见复发报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5ba/11469664/ac800a10a56d/cureus-0016-00000069190-i01.jpg

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