Abstract

MANAGEMENT OF PATIENTS WITH FIBRO OSSEUS TUMOUR OF MANDIBLE IN ALKHOMS TEACHING HOSPITA, ALKHOMS, LIBYA

Musbah Ashmmam and Salaheddin S. Alkesher*

ABSTRACT

Fibro-osseous lesions constitute a rare benign type of pathology with a non-odontogenic lineage that affects the craniofacial area. According to Waldrom’s classification, these lesions are divided into: fibrous dysplasia (FD), cemento-ossifying fibroma (COF) and desmoplastic fibroma (DF). The main aims and objectives of the study are to study clinical and radiographic characteristics of fibro-osseous lesions and treatment outcome following radical resection in the maxillofacial region. In the differential diagnosis, entities having similar clinical manifestations in the maxillofacial area with possible involvement of teeth or manifestations present as an asymptomatic radiolucent image should be ruled out. A retrospective study was performed on patients diagnosed with fibro-osseous lesions of the maxillo-facial surgery, faculty of medicine, at the Al-khoms Teaching Hospital, Al- Khoms Libya, during 2020-2021. A total of 20 cases were collected 9 cases compatible with a 45% surgery diagnosis and Observation 11 case with a DF diagnosis at 55%. We hereby present the management and development of patients treated in our hospital for fibro-osseous lesions. Fibro-osseous lesions share many clinical and radiological characteristics in common, with histological features confirming the nature of the lesion. Management of patients should be individualized and case-specific, assessing the clinical evolution of each case and taking into account the benign nature and growth behavior of this type of tumors.

Keywords: Fibro-osseous lesions, Fibro-osseous, Fibrous dysplasia, Cemento-ossifying fibroma, Desmoplastic fibroma.