An audit of Paediatric Orofacial Lesions at the Kilimanjaro Christian Medical Centre in Moshi, Tanzania
D. S. Rwakatema, M. L. Chindia
DOI: 10.4236/ss.2011.210104   PDF   HTML     4,212 Downloads   6,406 Views   Citations


Objective: To audit and categorize pathological lesions and conditions that occurred in the orofacial region among children aged up to 15 yrs. Setting: Kilimanjaro Christian Medical Centre, Moshi, Tanzania. Design: Retrospective cross-sectional audit based on archival records and material between 1985 to 2005. Results: Biopsy results were generated into 11 categories whence most common lesions encountered were in the categories of soft tissue benign neoplasms (35.1%) and soft tissue malignant neoplasms (21.8%). Remarkably, Burkitt’s lymphoma (BL) in the category of malignant soft tissue neoplasia constituted 11.8% of all the lesions biopsied while haemangiomas and tuberculous adenitis comprised 8.1% and 3.8% respectively. The age groups revealed the highest burden (37.1%) among the 0 to 5-year-olds followed by the 11 to 15-(34.5%) and 6 to 10-year-olds (28.4%). The orofacial site distribution among the 211 biopsied cases included 62.1% in the mandibular 29.9% in the maxillary region and 8% in the tongue areas. Malignant neoplasms of the bone were rare and all were diagnosed in the mandible. Overall, malignant neoplasms of soft tissue were significantly more in the age group of 6 - 10 years as well as in males than females. On the other hand, significantly more benign soft tissue neoplasms occurred in females than in males. Main Outcome Measure: There is great diversity and preponderance of soft tissue than skeletal orofacial lesions on the present audit. Significantly, clinicians should maintain high index of suspicion regarding the remarkably high frequency of diagnosing BL and tuberculous lymphadenitis in such a population in this era of HIV infection/AIDS.

Share and Cite:

D. Rwakatema and M. Chindia, "An audit of Paediatric Orofacial Lesions at the Kilimanjaro Christian Medical Centre in Moshi, Tanzania," Surgical Science, Vol. 2 No. 10, 2011, pp. 476-480. doi: 10.4236/ss.2011.210104.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] E. A. O. Dimba, J. Gichana, A. A. K. Limo, K. A. Wakoli, M. L. Chindia and D. O. Awange, “An Audit of Oral Disease at a Nairobi Centre, 2000-2004,” International Dental Journal, Vol. 57, No. 6, 2007, pp. 439-444.
[2] P. E. Pertersen, “The World Oral Health Report 2003 Continuous Improvement of Oral Health in the 21st Century the Approach of the WHO Oral Health Global Programme.” Community Dental Oral Epidemiology, Vol. 31, No. 1, 2003, pp. 3-24. doi:10.1046/j..2003.com122.x
[3] G. S. Lima, et al, “A Survey of Oral and Maxillofacial Biopsies in Children: A Single-Centre Retrospective Study of 20 Years in Pelotas-Brazil,” Journal of Applied Oral Science, Vol. 16, No. 6, pp. 397-402. doi:10.1590/S1678-77572008000600008
[4] M. Sato, N. Tanaka, T. Sato and T. Amagasa. “Oral and Maxillofacial Tumours in Children: A Review,” British Journal of Oral & Maxillofacial Surgery, Vol. 35, No. 2, 1997, pp. 92-95. doi:10.1016/S0266-4356(97)90682-3
[5] Y. Wang, H. Chang, J. Y. Chang, G. Hung and M. Guo, “Retrospective Survey of Biopsied Oral Lesions in Pediatric Patients,” Journal of Formos Medical Association, Vol. 108, No. 11, 2008, pp. 862-871. doi:10.1016/S0929-6646(09)60418-6
[6] S. B. Aregbesola, V. I. Ugboko, J. A. Akinwande, G. F. Arole and O. O. Faga, “Orofacial Tumours in Suburban Nigerian Children and Adolescents,” British Journal of Oral and Maxillofacial Surgery, Vo. 43, No. 3, 2005, pp. 226-231. doi:10.1016/j.bjoms.2004.11.006
[7] T. A-Khateeb, A. A Hamasha and N. M. Almasri, “Oral and Maxillofacial tumours in North Jordanian Children and Adolescents: A Retrospective Analysis over 10 Yeras,” International Journal of Oral and Maxillofacial Surgery, Vol. 32, No. 1, 2003, pp. 78-83. doi:10.1054/ijom.2002.0309
[8] B. M. Kalyanyama, M. I. N. Matee and E. Vahahula, “Oral Tumours in Tanzanian Children Based on Biopsy Materials Examined over a 15-Year Period from 1982 to 1997,” International Dental Journal, Vol. 52, No. 1, 2002, pp. 10-14. doi:10.1111/j.1875-595X.2002.tb00590.x
[9] W. O. Mwanda, J. Orem, S. C. Remick, R. Rochford, C. Whalen and M. L. Wilson, “Clinical Characteristics of Burkitt’s Lymphoma from Three Regions in Kenya,” East African Medical Journal, Vol. 82, No. 9, 2005, pp. S135-143
[10] A. Kamulegeye and B. Kalyanyama, “Oral Maxillofacial Neoplasms in an East African Population a 10 Year Retrospective Study of 1863 Cases Using Histopathological Reports,” 2008.
[11] J. M. Wakiaga, J. F. Onyango and D. O. Awange, “Clinicopathological Analysis of Jaw Tumours and Tumour-Like Conditions at the Kenyanta National Hospital,” East African Medical Journal, Vol. 74, No. 2, 1997, pp. 65-68.
[12] N. Tanaka, A. Murata, A. Yamaguchi and G. Kohama, “Clinical Features and Management of Oral and Maxillofacial Tumours in Children,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, Vol. 88, No. 1, 1999, pp. 11-15.
[13] WHO, “Global Tuberculosis Control—Epidemiology, Strategy, Financing,” WHO Report, Geneva, 2009.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.