The standard medical management for a pediatric patient with cherubism is______________?
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Answer: B. cosmetic surgery after puberty
Explanation
Cherubism is a self-limiting genetic condition in children; surgical management is delayed until after puberty. Lesions typically stabilize and regress spontaneously as the child matures through adolescence. Premature aggressive surgery can damage developing tooth buds and facial bone structures. Mutations in the SH3BP2 gene cause increased osteoclast activity and bilateral jaw swellings. Affected children develop characteristic full cheeks that give them a cherubic facial appearance. Clinical monitoring and supportive care are standard until natural lesion regression occurs.
Delayed cosmetic surgery is reserved for patients with severe residual facial asymmetry after puberty. Psychological support helps children cope with the noticeable facial changes during their school years. Dentists monitor dental eruption patterns carefully while awaiting natural lesion stabilization. Surgical excision is avoided during childhood because the fibro-osseous lesions actively recur and grow. Radiation therapy is strictly contraindicated due to the risk of inducing secondary malignancies in children. En bloc dissection is an excessively radical procedure for a benign, self-limiting developmental condition.
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