Lingual Focal Hyperplastic Lesion in a Pediatric Patient: Report of an Unusual Case

Focal fibrous hyperplasia (FFH) is an oral mucosal localized non-neoplastic enlargement representing a reaction to chronic local irritations or injuries. The purpose of this report is to describe the management of an asymptomatic fibrotic lesion located in the tongue, in a preschooler boy. A 7-year-...

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Bibliographic Details
Published in:Odovtos 2020-01, Vol.22 (2), p.155-160
Main Authors: Herrera B, Denisse A, Joselin Flores V., Tejeda N, Francisco J, Victor Fierro S., Pozos, Amaury J, Arturo Garrocho R.
Format: Article
Language:English
Subjects:
Cavidad oral
Children
Conflicts of interest
Dentistry
Diagnosis
Focal hyperplasia lesion
Granulomas
Hiperplasia fibrosa focal
Hyperplasia
Irritation
Laser
Lasers
Lengua
Lesions
Mucosa
Niños
Oral cavity
Oral hygiene
Pediatrics
Surgical treatment
Teenagers
Teeth
Tongue
Tratamiento quirúrgico
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Description
Summary:Focal fibrous hyperplasia (FFH) is an oral mucosal localized non-neoplastic enlargement representing a reaction to chronic local irritations or injuries. The purpose of this report is to describe the management of an asymptomatic fibrotic lesion located in the tongue, in a preschooler boy. A 7-year-6-month old boy attended our clinic for the evaluation of an exophytic pedunculated tumor-like round mass located in the dorsal surface of the tongue. Based on the initial examination and the natural history of the lesion, the presumptive clinical diagnosis determined an irritation FFH. The lesion was surgically excised with a diode laser device, and the postoperative period evolution occurred without any complication. The appropriate treatment of FFH in children initially consists of the removal of local irritant factors. Excellent oral hygiene maintenance and close follow-up care are strongly suggested. Surgical excision is the most frequent modality for persistent lesions. Early diagnosis and proper management of FFH can reduce the risk of future recurrences or complications.
ISSN:1659-1046
2215-3411
2215-3411
DOI:10.15517/ijds.2020.41231