DISTINCT VARIANT OF JUVENILE OSSIFYING FIBROMA OF THE MANDIBULAR RAMUS

Sanjay C.J., Karthikeya Patil, Varusha Sharon Christopher, Eswari Solayappan

 

Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSS Academy of Higher Education and Research.

Karnataka, India.

P

urpose. This case report documents a rare instance of juvenile trabecular ossifying fibroma (JTOF) in the mandibular ramus, an unusual location with only one prior reported case. The study aims to expand knowledge of JTOF's anatomical distribution and highlight the importance of comprehensive diagnostic evaluations for pediatric maxillofacial lesions.

Materials and Methods. A 10 year-old female presented with facial pain and swelling. Diagnostic tools included panoramic radiography and cone beam computed tomography (CBCT), followed by an incisional biopsy for histopathological confirmation. Treatment involved surgical resection of the affected mandible and reconstruction using an iliac bone crest graft, with post-operative monitoring for healing and recurrence.

Results. Imaging revealed extensive erosion and radiolucencies in the right mandibular ramus. Histopathology confirmed JTOF. Post-surgery, the patient showed satisfactory healing, with no complications and good bone graft integration. Facial asymmetry resolved, and mandibular function was restored.

Discussion. JTOF typically affects the maxilla but rarely the mandibular ramus. The aggressive nature of JTOF necessitates accurate imaging and histopathological analysis for diagnosis. Differential diagnoses include fibrous dysplasia and osteosarcoma. The study emphasizes the need for thorough evaluation and surgical intervention to manage such lesions effectively.

Conclusion. This case highlights the rarity of JTOF in the mandibular ramus, contributing to clinical knowledge. It underscores the importance of comprehensive radiological and histopathological assessments in pediatric jaw lesions. Clinicians should consider JTOF in differential diagnoses to ensure timely and appropriate treatment, optimizing patient outcomes.

 

Keywords: Ossifying Fibroma, Mandibular Neoplasms, Mandibular Ramus, Bone Neoplasms, Adolescent.

 

Corresponding author: Karthikeya Patil, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Sanjay C.J., Karthikeya Patil, Varusha Sharon Christopher, Eswari Solayappan. Distinct variant of juvenile ossifying fibroma of the mandibular ramus. REJR 2025; 15(1):226-232. DOI: 10.21569/2222-7415-2025-15-1-226-232.

Received:        01.02.25 Accepted:       13.02.25