Surgical Management of Recurrent Ossifying Fibroma: A Case Report

Reiner Avelino, Eka Marwansyah, Harmas Yazid Yusuf

Abstract: Introduction: Ossifying fibroma (OF) is one of the so-called fibro osseous lesions, consisting of a benign fibro-osseous lesion characterized by slow growth and proliferation of fibrous cellular tissue, bone, cement or a combination, occurs exclusively in the tooth bearing areas of the jaws. The aim is to report arecurrent case of ossifying fibroma in pediatric patients under surgical management. Case report: A6 years old girl patient with chief complain of a lump on her right lower jaw, with painless, firm, and non bleeding characteristic on the clinical findings. Panoramic x-ray showed irregularly-shaped radiopaque intrabony lesion with ill-defined margins. The patient went for excisional biopsy and extraction of deciduous teeth,with pathological result was ossifying fibroma. However the lesion recurred after 8 months later, and the second surgery was done with re-excision of the tumor. There has been no sign of recurrence since the last surgery and we have continued follow-up observation. Conclusion: Ossifying fibroma is a benign fibro-osseous lesion with various rate of recurrency, surgical is a recommended management for the lesion, followed by periodically observation.

Keywords: Ossifying fibroma, recurrent, pediatric, surgical