TỔNG QUAN CÁC PHƯƠNG PHÁP ĐIỀU TRỊ U XƠ XƯƠNG HÓA XƯƠNG HÀM

Abstract

The aim is to describe the treatment results of surgical methods and comment on some factors affecting the treatment results of ossifying fibroma of the jaw bone. A search was performed in August 2021. Eligibility criteria included articles that had to have a histopathological diagnosis, surgical method, follow-up time, and postoperative outcome. A total of 40 publications with 123 cases. The highest postoperative recurrence rate in curettage was 11.5% with a recurrence time of 9.3 years, radical surgery was 9% with a recurrence time of 2.7 years, surgical enucleation  was 6.25% with a recurrence time of 1 year and no recurrence in the combined surgery of enucleation and curettage. The rate of recurrence after surgery is higher in men than in women, the maxilla is higher than the mandible. Recurrence after surgery is most common at the age of 13 to 18 years, tumors with duration of symptoms before treatment from 12 to 60 months, tumor size from 2 cm to 4 cm, tumor with radiopaque density and border unclear. Recurrence rates after surgery were highest in tumors that enlarged the cortical bone. Conclusion: Surgical enucleation, enucleation combined with curettage should be prioritized in treatment. In order to increase the probability of success after surgical treatment, it is necessary to pay attention to the factors affecting the outcome of surgical treatment.