J Korean Assoc Oral Maxillofac Surg.  2023 Feb;49(1):49-52. 10.5125/jkaoms.2023.49.1.49.

Benign osteoblastoma of the mandible: a case report

• Navas-Aparicio MdC

• KMID: 2539704
• DOI: http://doi.org/10.5125/jkaoms.2023.49.1.49

Abstract

Osteoblastoma is a rare benign neoplasm formed by osteoid tissue and well-vascularized bone that occurs mainly in children and adolescents. It appears primarily in the long bones, vertebral column, and small bones of the hands and feet, and not typically in the skull and maxillary bones. The purpose of this study is to present the case of an 8-year-old girl with a diagnosis of right mandibular osteoblastoma and a review of the relevant literature. The goals of treatment were to preserve dental occlusion, masticatory function and facial symmetry while minimizing the effects on patient body image and quality of life. Osteoblastoma, although it is benign, can be aggressive, and its treatment will depend on the timing of diagnosis, size and location. Early diagnosis is essential to avoid not only radical surgery as in the case presented, but also to help minimize the risk of possible relapse and potential malignancy of a benign osteoblastoma.

Keyword

Osteoblastoma; Mandibular neoplasms; Bone neoplasms; Bone tissue; Mandible

Figure

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  Fig. 1 Right mandibular ramus osteoblastoma, extending from condyle and coronoid process to permanent lower right first molar: computed axial tomography (A and B: 3D reconstruction images, C: axial image, D: coronal image) and orthopantomography (E).

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  Fig. 2 Right mandibular ramus osteoblastoma. A. Tumor. B. Silicon spacer for reconstruction of right mandibular ramus. C. Silicon spacer positioned and fixed in mandible. D. Immediate postoperative radiographic control by orthopantomography.

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  Fig. 3 Patient monitoring images: computed axial tomography (A and B: 3D reconstruction images), two years postoperative, and orthopantomography (C), three years postoperative. Note on the radiograph, the right lower second premolar tooth, which erupted despite the absence of root formation.

Reference

References

1. Jones AC, Prihoda TJ, Kacher JE, Odingo NA, Freedman PD. 2006; Osteoblastoma of the maxilla and mandible: a report of 24 cases, review of the literature, and discussion of its relationship to osteoid osteoma of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 102:639–50. https://doi.org/10.1016/j.tripleo.2005.09.004. DOI: 10.1016/j.tripleo.2005.09.004. PMID: 17052641.

2. Bokhari K, Hameed MS, Ajmal M, Togoo RA. 2012; Benign osteoblastoma involving maxilla: a case report and review of the literature. Case Rep Dent. 2012:351241. https://doi.org/10.1155/2012/351241. DOI: 10.1155/2012/351241. PMID: 22593831. PMCID: PMC3347716.

3. Peters TE, Oliver DR, McDonald JS. 1995; Benign osteoblastoma of the mandible: report of a case. J Oral Maxillofac Surg. 53:1347–9. https://doi.org/10.1016/0278-2391(95)90599-5. DOI: 10.1016/0278-2391(95)90599-5. PMID: 7562203.

4. Danielidis J, Triaridis C, Demetriadis A, Psifidis A. 1980; Mandibular ramus osteoblastoma. A case report. J Maxillofac Surg. 8:251–4. https://doi.org/10.1016/s0301-0503(80)80108-1. DOI: 10.1016/S0301-0503(80)80108-1. PMID: 6932467.

5. Manjunatha BS, Sunit P, Amit M, Sanjiv S. 2011; Osteoblastoma of the jaws: report of a case and review of literature. Clin Pract. 1:e118. https://doi.org/10.4081/cp.2011.e118. DOI: 10.4081/cp.2011.e118. PMID: 24765359. PMCID: PMC3981446.

6. Miyajima D, Ishikawa A, Yagihara K, Ishida T, Yagishita H, Kasturano M, et al. 2015; A rare case of osteoblastoma of the mandible. J Oral Maxillofac Surg Med Pathol. 27:884–7. https://doi.org/10.1016/j.ajoms.2015.04.001. DOI: 10.1016/j.ajoms.2015.04.001.

7. Mardaleishvili K, Kakabadze Z, Machavariani A, Grdzelidze T, Kakabadze A, Sukhitashvili N, et al. 2014; Benign osteoblastoma of the mandible in a 12-year-old female: a case report. Oncol Lett. 8:2691–4. https://doi.org/10.3892/ol.2014.2593. DOI: 10.3892/ol.2014.2593. PMID: 25364451. PMCID: PMC4214441.

8. Castro PHS, Molinari DL, Stateri HQ, Borges AH, Volpato LER. 2016; Agressive osteoblastoma in a seven-year-old girl's mandible: treatment and six-year monitoring. Int J Surg Case Rep. 27:5–9. https://doi.org/10.1016/j.ijscr.2016.07.033. DOI: 10.1016/j.ijscr.2016.07.033. PMID: 27518431. PMCID: PMC4983634.

9. Sahu S, Padhiary S, Banerjee R, Ghosh S. 2019; Osteoblastoma of mandible: a unique entity. Contemp Clin Dent. 10:402–5. https://doi.org/10.4103/ccd.ccd_676_18. DOI: 10.4103/ccd.ccd_676_18. PMID: 32308310. PMCID: PMC7145246.

10. Pontual ML, Pontual AA, Grempel RG, Campos LR, Costa Ade L, Godoy GP. 2014; Aggressive multilocular osteoblastoma in the mandible: a rare and difficult case to diagnose. Braz Dent J. 25:451–6. https://doi.org/10.1590/0103-6440201300220. DOI: 10.1590/0103-6440201300220. PMID: 25517784.

11. Panigrahi RG, Bhuyan SK, Pati AR, Priyadarshini SR, Sagar S. 2016; Non aggressive mandibular osteoblastoma- a rare maxillofacial entity. J Clin Diagn Res. 10:ZD06–8. https://doi.org/10.7860/jcdr/2016/13709.7630. DOI: 10.7860/JCDR/2016/13709.7630. PMID: 27190965. PMCID: PMC4866263.

12. Vinuth DP, Agarwal P, Gadewar D, Dube G, Dhirawni R. 2014; A large multifocal aggressive osteoblastoma of mandible: an immunohistochemistry case study report. J Dent Res Dent Clin Dent Prospects. 8:51–5. https://doi.org/10.5681/joddd.2014.009. DOI: 10.5681/joddd.2014.009. PMID: 25024840. PMCID: PMC4091700.

13. Mahajan A, Kumar P, Desai K, Kaul RP. 2013; Osteoblastoma in the retromolar region - report of an unusual case and review of literature. J Maxillofac Oral Surg. 12:338–40. https://doi.org/10.1007/s12663-011-0263-4. DOI: 10.1007/s12663-011-0263-4. PMID: 24431864. PMCID: PMC3777043.

14. Smith RA, Hansen LS, Resnick D, Chan W. 1982; Comparison of the osteoblastoma in gnathic and extragnathic sites. Oral Surg Oral Med Oral Pathol. 54:285–98. https://doi.org/10.1016/0030-4220(82)90098-6. DOI: 10.1016/0030-4220(82)90098-6. PMID: 6957826.

15. Kim KS, Kim MJ, Seo BM, Chu SC, Lee GC. 1991; Benign osteoblastoma of the mandible: report of a case and review of the literature. J Korean Assoc Oral Maxillofac Surg. 17:54–60.

16. Ataoglu O, Oygur T, Yamalik K, Yucel E. 1994; Recurrent osteoblastoma of the mandible: a case report. J Oral Maxillofac Surg. 52:86–90. https://doi.org/10.1016/0278-2391(94)90022-1. DOI: 10.1016/0278-2391(94)90022-1. PMID: 8263651.