title: Management and Treatment Outcomes of Maxillofacial Fibro-osseous Lesions: A Retrospective Study.
abstract: BACKGROUND
  Fibro-osseous lesions are a diverse group of bone disorders and include developmental, reactive or dysplastic diseases and neoplasms. They share overlapping clinical, radiographic and histopathologic features and demonstrate a wide range of biological behaviour.
  
  
  OBJECTIVE
  To evaluate the characteristics, treatment and outcome of benign fibro-osseous lesions of the jaws.
  
  
  METHODS
  All patients with fibro-osseous lesions of the jaws treated at the department of Oral and Maxillofacial Surgery of the Kamineni Institute of Dental Sciences from 2007 to 2013 were included in this study.
  
  
  RESULTS
  Six males and four females were treated. Juvenile ossifying fibroma was most often encountered (40 %), and the mandible was the most frequent location (70 %). Main clinical feature in most of the cases was a painless expansile swelling with facial asymmetry, and radiologically mixed (radiolucent and radiopaque lesions) were seen in majority of cases. All cases were surgically treated and histopathologically confirmed. Segmental ostectomy was performed in six cases; maxillectomy was done in one case and excision along with margin in three cases. Mean follow-up was of 3.3 years with no recurrence.
  
  
  CONCLUSIONS
  Fibro-osseous lesions, although sharing similar microscopic features, exhibit a variety of clinical behavior rendering their treatment highly individualized. Radical treatment is the choice to achieve an outcome without recurrence.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda DT, Andhra Pradesh India.
authors.forename: K A Jeevan
authors.initials: KA
authors.lastname: Kumar
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda DT, Andhra Pradesh India.
authors.forename: P Krishna
authors.initials: PK
authors.lastname: Kishore
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda DT, Andhra Pradesh India.
authors.forename: A P
authors.initials: AP
authors.lastname: Mohan
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda DT, Andhra Pradesh India.
authors.forename: V
authors.initials: V
authors.lastname: Venkatesh
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda DT, Andhra Pradesh India.
authors.forename: B Pavan
authors.initials: BP
authors.lastname: Kumar
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Sciences, Narketpally, Nalgonda DT, Andhra Pradesh India.
authors.forename: Divya
authors.initials: D
authors.lastname: Gandla
keywords: Children; Juvenile ossifying fibroma; Maxillofacial; Ossifying fibroma