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Characteristics and Management of Pediatric Benign Intraosseous Mandibular Tumors: A 10-Years Prospective Study

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Abstract

Background

The management of intraosseous mandibular tumors in children is challenging. This study investigated clinical and pathological characteristics, surgical treatment, and outcome of pediatric benign intraosseous mandibular tumors.

Materials and Methods

A prospective study included patients under 18 years presenting with benign intraosseous mandibular tumors that were surgically managed. Clinical and surgical data were collected and statistically analyzed.

Results

The study included 84 patients (38 males and 46 females): 66.7% had non-odontogenic tumors and 33.3% had odontogenic tumors. The most common non-odontogenic tumors were central giant cell granulomas (31%). The most common odontogenic tumors were odontomas (9.5%). Conservative surgery and radical resection were performed equally. Curettage was the commonest treatment modality (27.4%). Fifty percentage of cases required reconstruction, which was done by costochondral rib graft (42.9%) and free fibula flap (7.1%). One patient had recurrence. All cases got good functional and aesthetic results.

Conclusion

Non-odontogenic tumors were more common than odontogenic tumors. Central giant cell granulomas were the most common non-odontogenic tumors, while odontomas were the most common odontogenic tumors. Treatment depended on type, size, and aggressiveness. Pediatric mandibular reconstruction with costochondral rib grafts was simple and satisfactory. Microsurgical reconstruction had high success rates. Appropriate management achieved good aesthetic and functional outcomes.

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Funding

This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Maxillofacial Head and Neck Surgery Unit, General Surgery Department, Faculty of Medicine, Sohag University, Sohag, 82524, Egypt

    Ahmed Gaber Hassanein, Kamal A. M. Hassanein, Islam A. Amer & Tarek Elsayed Ftohy

  2. Department of Dental and Biomedical Sciences, Faculty of Dentistry, Albaha University, Albaha, 65527, Saudi Arabia

    Pankaj Kukreja

  3. Oral and Maxillofacial Surgery Department, Elramad Hospital, Ministry of Health, Damanhour, Elbeheira, Egypt

    Omar Mohammed Mansour

  4. Oral and Maxillofacial Surgery Division, Department of Surgery, King Abdul Aziz Specialist Hospital, Taif, Saudi Arabia

    Omar Mohammed Mansour

Authors
  1. Ahmed Gaber Hassanein
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  2. Pankaj Kukreja
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  3. Kamal A. M. Hassanein
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  4. Omar Mohammed Mansour
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  5. Islam A. Amer
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  6. Tarek Elsayed Ftohy
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Corresponding author

Correspondence to Ahmed Gaber Hassanein.

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Conflict of interest

The authors report no conflicts of interest associated with this work.

Ethical approval

This study was approved by the Institutional Review Board and Ethics Committee of our institution and was conducted in accordance with the principles of the Declaration of Helsinki. All patients provided informed consent.

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Hassanein, A.G., Kukreja, P., Hassanein, K.A.M. et al. Characteristics and Management of Pediatric Benign Intraosseous Mandibular Tumors: A 10-Years Prospective Study. J. Maxillofac. Oral Surg. 22, 476–484 (2023). https://doi.org/10.1007/s12663-022-01740-3

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  • DOI: https://doi.org/10.1007/s12663-022-01740-3

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