Tumors of the Pediatric Maxillo-facial Skeleton: A 20-Year Clinical Study:

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...