Abstract
Palatal swellings are rare in children and the incidence differs from that of the adult counterparts. When the palatal swellings do arise in children, they usually are palatal abscess from periapical region, and few cases like pleomorphic adenoma in young adults have also been reported. But inflammatory fibrosis of palate in children is a rare occurrence. Inflammatory fibrosis is formation of excess fibrous connective tissue in an organ or tissue, as a reparative or reactive process. This report describes an unusual case of iatrogenic inflammatory fibrosis on the palate due to extraction of tooth number 22 in a 13-year-old female patient. The patient presented with a single large well-circumscribed oval palatal swelling that was soft, fluctuant, not fixed, and nontender. Surgical excision of the lesion was done and it was sent for histopathological assessment. The biopsy showed fibrous tissue with collagen fibers, spindle shaped fibroblasts, neovascularization, RBCs, chronic inflammatory cells, and traces of salivary gland and nerve tissue.
Highlights
Growing, aggressive palatal swellings are relatively rare in children when compared to adults
Fibrosis is a rare complication after extraction and is characterized by formation of excess fibrous connective tissue in an organ or tissue, which can be reparative, reactive, benign, or pathological [2]
We hereby report a case of a 13year-old girl with inflammatory fibrosis on the hard palate caused as a complication after extraction of tooth number 22
Summary
Aggressive palatal swellings are relatively rare in children when compared to adults. Among all the palatal swellings, pleomorphic adenoma is the most frequently encountered lesion in young adults [1]. Cases of iatrogenically caused inflammatory fibrosis have not been reported or explored to a large extent in the literature, especially in children. Tooth extraction is one of the most frequent dental procedures performed in a dental office and is sometimes accompanied by intra- and postsurgical complications. Fibrosis is a rare complication after extraction and is characterized by formation of excess fibrous connective tissue in an organ or tissue, which can be reparative, reactive, benign, or pathological [2]. We hereby report a case of a 13year-old girl with inflammatory fibrosis on the hard palate caused as a complication after extraction of tooth number 22
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