2020, Number 2
<< Back Next >>
Odovtos-Int J Dent Sc 2020; 22 (2)
Lingual Focal Hyperplastic Lesion in a Pediatric Patient: Report of an Unusual Case
Herrera BDA, Flores VJ, Tejeda NFJ, Fierro SV, Pozos GAJ, Garrocho RA
Language: English
References: 16
Page: 47-52
PDF size: 878.12 Kb.
ABSTRACT
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.
REFERENCES
Kadeh H., Saravani S., Tajik M. Reactive hyperplastic lesions of the oral cavity. Iran J Otorhinolaryngol. 2015; 27 (79): 137-44.
Manchanda A. S., Narang R. S., Singh B., Mahajan K. Retrospective analysis of focal fibrous hyperplasia. Indian J Comprehen Dent Care. 2015; 5 (2): 598-602.
Da Silva F. C., Piazzeta C. M., Torres-Pereira C. C., Schussel J. L., Amenábar J. M. Gingival proliferative lesions in children and adolescents in Brazil: A 15-year-period cross-sectional study. J Indian Soc Periodontol. 2016; 20 (1): 63-6.
Soyele O. O., Ladeji A. M., Adebiyi K. E., Adesina O. M., Aborisade A. O., Olatunji A. S., et al. Pattern of distribution of reactive localised hyperplasia of the oral cavity in patients at a tertiary health institution in Nigeria. Afr Health Sci. 2019; 19 (1): 1687-94.
Kashyap B., Reddy S., Nalini P. Reactive lesions of oral cavity: A survey of 100 cases in Eluru, West Godavary district. Contemp Clin Dent. 2012; 3 (3): 294-7.
Kale T. A. Focal fibrous hyperplasia. A reactive lesion. Int J Dent Clinics. 2013; 5 (3): 29-30.
Buchner A., Shnaiderman A., Vered M. Pediatric localized gingival lesions: A retrospective study from Israel. Pediatr Dent. 2010; 32 (7): 486-92.
Sangle V. A., Pooja V. K., Holani A., Shah N., Chaudhary M., Khanapure S. Reactive hyperplastic lesions of the oral cavity: A retrospective survey study and literature review. Indian J Dent Res. 2018; 29 (1): 61-6.
Santana-Santos T., Saquete-Martins-Filho P. R., Rabello-Piva M., De Souza-Andrade E. S. Focal fibrous hyperplasia: A review of 193 cases. J. Oral Maxillofac Pathol. 2014; 18 (Suppl): S86-9.
Seyedmajidi M., Hamzehpoor M., Bagherimoghaddam S. Localized lesions of oral cavity: A clinicopathological study of 107 cases. Res J Med Sci. 2011; 52 (1): 67-72.
Vergotine R. J. A giant cell fibroma and focal fibrous hyperplasia in a young child: A case report. Case Rep Dent. 2012; 2012: 370242.
Oliveira-Andriola F., Santolim-Zanetti L. M., De Marco R. G., Kunz C., Machado-Vaz C. S., Miranda-Pagnoncelli R. Diode laser in the surgical treatment of inflammatory fibrous hyperplasia: Case report and literature review. Rev Odonto Ciencia (J Dent Sci). 2017; 32 (3): 154-9.
Rioboo-Crespo M. R., Planells-Del Pozo P., Rioboo-García R. Epidemiology of the most common oral mucosal diseases in children. Med Oral Patol Oral Cir Bucal. 2005; 10 (5): 376-87.
Reddy V., Saxena S., Saxena S., Reddy M. Reactive hyperplastic lesions of the oral cavity: A ten year observational study on North Indian Population. J Clin Exp Dent. 2012; 4 (3): e136-40.
Yáńez M., Escobar E., Oviedo C., Stillfried A., Pennacchiotti G. Prevalence of oral mucosal lesions in children. Int J Odontostomat. 2016; 10 (3): 463-8.
American Academy of Pediatric Dentistry. Management considerations for pediatric oral surgery and oral pathology. Reference Manual 2018-19. Pediatr Dent. 2017; 39 (6): 361-70.
Full text