Tumors of the Pediatric Maxillo‐facial Skeleton: A 20‐Year Clinical Study. (23rd August 2013)

• Record Type: Journal Article
• Authors: Perry, Katherine; Tkaczuk, Andrew; Caccamese, John; Ord, Robert; Pereira, Kevin
• Is Part Of: Otolaryngology--head and neck surgery. Volume 149(2013)Supplement 2
• Page Start: P253
• Page End: P254
• Publication Date: 2013-08-23
• Subjects: Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599813496044a337
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Objectives: Review the clinical presentation, radiologic features, management, and outcomes of jaw tumors diagnosed in children treated in a tertiary care academic center. Methods: Retrospective review of children age 16 and under who presented to the University of Maryland Medical Center between 1992 and 2012 and were diagnosed with a jaw tumor. Charts were reviewed for symptoms, physical exam, radiological findings, pathology, intervention, and outcomes. Results: The charts of 76 patients evaluated for a jaw mass were reviewed, and 22 were diagnosed with a jaw tumor. The two most common pathologies were ameloblastoma (27%) and ossifying fibroma (18%). Two tumors were malignant, both rhabdomyosarcomas. One‐third of patients presented asymptomatically with lesions found on surveillance panorex, while the remaining two‐thirds presented with evidence of a mass or swelling. All but one infant with a suspected lymphangioma underwent biopsy and surgical excision. Twenty‐seven percent of patients underwent more than one procedure, including secondary reconstruction, prior to a satisfactory outcome. Conclusions: Pediatric jaw tumors are rare lesions most commonly presenting with a swelling or mass in the location. One‐third of patients are asymptomatic with a lesion identified on imaging. A majority of jaw tumors are benign but require surgical intervention for excision of disease. Multiple procedures, including reconstruction, may be required for certain lesions prior to cure.