Head and Neck Pathology

, Volume 2, Issue 3, pp 177–202

Benign Fibro-Osseous Lesions of the Craniofacial Complex A Review

Invited Review

DOI: 10.1007/s12105-008-0057-2

Cite this article as:
Eversole, R., Su, L. & ElMofty, S. Head and Neck Pathol (2008) 2: 177. doi:10.1007/s12105-008-0057-2


Benign fibro-osseous lesions of the craniofacial complex are represented by a variety of disease processes that are characterized by pathologic ossifications and calcifications in association with a hypercellular fibroblastic marrow element. The current classification includes neoplasms, developmental dysplastic lesions and inflammatory/reactive processes. The definitive diagnosis can rarely be rendered on the basis of histopathologic features alone; rather, procurement of a final diagnosis is usually dependent upon assessment of microscopic, clinical and imaging features together. Fibrous dysplasia and osteitis deformans constitute two dysplastic lesions in which mutations have been uncovered. Other dysplastic bone diseases of the craniofacial complex include florid osseous dysplasia, focal cemento-osseous dysplasia and periapical cemental dysplasia, all showing a predilection for African descent individuals; although no specific genetic alterations in DNA coding have yet to be uncovered and most studies have been derived from predominant high African descent populations. Ossifying fibromas are neoplastic lesions with four subtypes varying with regard to behavior and propensity for recurrence after surgical excision. The clinicopathologic and molecular features of this unique yet heterogeneous group of diseases are reviewed.


Benign fibroosseous lesionsOssifying fibromaCementoosseous dysplasiaOsteitis deformansCementomaFibrous dysplasia

Copyright information

© The Author(s) 2008

Authors and Affiliations

  1. 1.Department of Pathology and Medicine, Arthur Dugoni School of DentistryUniversity of the PacificSan FranciscoUSA
  2. 2.Oral Pathology Diagnostic ServicesSan DiegoUSA
  3. 3.MHN Imaging CenterSan DiegoUSA
  4. 4.Department of Otolaryngology, Head-Neck SurgeryUniversity of California, IrvineIrvineUSA
  5. 5.Division of Oral Medicine, Oral Pathology and Orofacial PainUniversity of California, Los AngelesLos AngelesUSA
  6. 6.Oral Pathology ServicesWestlake VillageUSA
  7. 7.Washington University School of MedicineSt. LouisUSA