Fibro-osseous lesions of the face and jaws

Maxillofacial fibro-osseous lesions (FOL) consists of lesions that differ, with the exception of fibrous dysplasia, to those found in the rest of the skeleton. FOLs of the face and jaws are cemento-ossifying dysplasia, fibrous dysplasia and cemento-ossifying fibroma. Radiology is central to their di...

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Bibliographic Details
Published in:Clinical Radiology 2004, Vol.59 (1), p.11-25
Main Author: MacDonald-Jankowski, D.S
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bone
Cementoma
Cementoma - diagnostic imaging
Diagnosis, Differential
Facial Bones - diagnostic imaging
Facial Neoplasms - diagnostic imaging
Fibroma, Ossifying - diagnostic imaging
Fibrous dysplasia
Fibrous Dysplasia, Polyostotic - diagnostic imaging
Humans
Investigative techniques, diagnostic techniques (general aspects)
Jaw Neoplasms - diagnostic imaging
Jaws
Medical sciences
Odontogenic tumours
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Radiology
Skull - diagnostic imaging
Tomography, X-Ray Computed
Tumors
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Summary:Maxillofacial fibro-osseous lesions (FOL) consists of lesions that differ, with the exception of fibrous dysplasia, to those found in the rest of the skeleton. FOLs of the face and jaws are cemento-ossifying dysplasia, fibrous dysplasia and cemento-ossifying fibroma. Radiology is central to their diagnosis because the pathology for all FOLs is similar, although they range widely in behaviour, from dysplasia, hamartoma to benign neoplasia with occasional recurrence. Furthermore, once diagnosed the management of each is different. For cemento-ossifying dysplasia, this may mean doing nothing, simply because no treatment is generally appropriate. Almost all cemento-ossifying fibromas should be treated surgically, whereas cases of fibrous dysplasia are treated according to their clinical presentation, ranging from review and follow-up to surgery necessary to save the patient's sight or reduce deformity. The most important and frequent features of the FOLs differential diagnosis is discussed with assistance of a flow-chart.
ISSN:0009-9260
1365-229X
DOI:10.1016/j.crad.2003.07.003