INFLAMMATORY FIBROUS HYPERPLASIA IN A PATIENT WITH NEUROLOGIC DISTURBANCE

Felipe Búrigo dos Santos; Juliana Boechat; Rogério Gondak; Lia Honnef; João Schmitt Lopes; Letícia Bagatim; Heron Stähelin da Silva; Kelly Maier; Heitor Fontes da Silva

doi:10.34635/rpc.898

Felipe Búrigo dos Santos Department of Surgery and Traumatology, Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0002-7876-1550
Juliana Boechat Hospital Odontology Service , Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0003-4828-3655
Rogério Gondak Department of Pathology, Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0001-7547-660X
Lia Honnef Student of Odontology in Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0003-1357-0072
João Schmitt Lopes Student of Odontology in Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0003-1052-9680
Letícia Bagatim Student of Odontology in Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0002-3808-329X
Heron Stähelin da Silva Student of Odontology in Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0002-8454-5926
Kelly Maier Student of Odontology in Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0002-1873-135X
Heitor Fontes da Silva Department of Oral and Maxillofacial Surgery, Federal University of Santa Catarina, Florianópolis, Brazil http://orcid.org/0000-0002-8738-7011

Abstract

Introduction: Inflammatory Fibrous Hyperplasia (IFH) is a pathology characterized by a reactive lesion, in response to a chronic irritant of the oral mucosa. IFH presents itself as a high, slow-growing, asymptomatic lesion. It can vary from flaccid or firm to palpation, with a sessile or pediculate base. The purpose of this article is to report a case of inflammatory fibrous hyperplasia and a discussion based on a literature review.

Case Report: Male, 53 years old, ex-alcoholic and smoker, bedridden after a stroke, without a definite cause for five years, resided in a Hospital and Maternity in the region. A nodular vegetating lesion was found throughout the palatal rim, with fibrous consistency on palpation, non-bleeding and non-painful. 7 by 8 cm. Treated with excisional surgical procedure and biopsy of pathologic tissue.

Discussion: The clinical case described here presents inflammatory fibrous hyperplasia similar to those described in the literature, diagnosed as an exophytic process, well defined, mucosa-like in color, pedicled, asymptomatic, slow growing and without bone involvement. There is a consensus in the literature that the etiopathogenesis of inflammatory fibrous hyperplasia has a close relationship with low-grade chronic trauma intensity.

Conclusion: The hyperplasia inflammatory lesions are common and have, in the majority of cases, little dimensions without symptomatology and associated with persistent local trauma, the treatment consists in excisional surgical procedure and a good prognostic is expected.

Downloads

Download data is not yet available.

References

1. Santos MESM, Costa WRM, Silva JC. TERAPÊUTICA CIRÚRGICA DA HIPERPLASIA FIBROSA INFLAMATÓRIA-RELATO DE CASO SURGICAL THERAPY OF FIBROUS INFLAMMATORY HYPERPLASIA: A CASE REPORT. Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial, 2004; 4:241-45.
2. Barros RMG, Campos KSM, Cabral LM. Relato de caso clínico de hiperplasia fibrosa inflamatória. Rev Odontol Araçatuba. 2014;35:15-18.
3. Zarei MR, Chamani G, Amanpoor S. Reactive hyperplasia of the oral cavity in Kerman province, Iran: a review of 172 cases. BrJ Oral Maxillofac Surg. 2007;45:288-92.
4. Dutra KL, Longo L, Grando LJ, Rivero ER. Incidence of reactive hyperplastic lesions in the oral cavity: a 10 year retrospective study in Santa Catarina, Brazil. Braz J Otorhinolaryngol. 2019;85:399-407.
5. Brantes MF, Azevedo RS, Rozza-de-Menezes RE, et al. Analysis of risk factors for maxillary denture-related oral mucosal lesions: A cross-sectional study Med Oral Patol Oral Cir Bucal. 2019; 24:305-13.
6. NEVILLE, Brad W. et al. Patologia oral e maxilofacial. 4. ed. Rio de Janeiro: Elsevier, 2016. 912 p.
7. Figueiredo CV, Calvo AFB, Melo AR, et al. Inflammatory fibrous hyperplasia: a rare case in a child. RGO - Rev Gaúcha Odontol. 2019;67.
8. Ali M, Sundaram D. Biopsied oral soft tissue lesions in Kuwait: a six-year retrospective analysis. Med Princ Pract. 2012;21:569-75.
9. Santos TS, Martins-Filho PRS, Piva MR, et al. Focal fibrous hyperplasia: A review of 193 cases. J Oral Maxillofac Pathol. 2014; 18:86-89.
10. Babu B, Kaveri H. Reactive lesions of oral cavity: A retrospective study of 659 cases. J Ind Soc Period. 2017; 21: 258-63.
11. Zarei MR, Chamani G, Amanpoor S. Reactive hyperplasia of the oral cavity in Kerman province, Iran: a review of 172 cases. Br J Oral Maxillofac Surg. 2007;45:288-92.
12. Palmeira ARB, Florêncio AG, Silva Filho JP, et al. Non neoplastic proliferative lesions: a ten-year retrospective study. Rev Gaucha Odontol. 2013;61:543-7.
13. Kashyap B, Reddy PS, Nalini P. Reactive lesions of oral cavity: a survey of 100 cases in Eluru, West Godavari district. ContempClin Dent. 2012;3:294-97.
14. Reddy V, Saxena S, Saxena S, Reddy M. Reactive hyperplastic lesions of the oral cavity: a ten year observational study on North Indian Population. J Clin Exp Dent. 2012;4:136-40.
15. Maturana RA, Adorno FD, Reyes RM, et al. A retrospective analysis of reactive hyperplastic lesions of the oral cavity: study of 1149 cases diagnosed between 2000 and 2011, Chile. Acta Odontol Latino am. 2015;28:103-7.
16. Vidyanath S, Shameena PM, Johns DA, et al. Reactive hyperplasic lesions of the oral cavity: a survey of 295 cases at a Tertiary Health Institution in Kerala. J Oral Maxillofac Pathol. 2015;19:330-34.