Incidental finding of mandibular ossifying fibroma with parasymphyseal mandibular fracture

We present an interesting case of a young male with incidental finding of a mandibular ossifying fibroma. The patient sustained direct trauma to the mandible which prompted a computer tomography (CT) scan evaluation of the facial bones. The CT scan showed bilateral mandibular fractures with one of the fractures extending through an incidental finding of a 2.3 cm mandibular parasymphyseal lesion. The patient was previously asymptomatic without dental pain, jaw pain or swelling. This case is unique in the fact that the patient has an inherently rare tumor, was asymptomatic prior to his injury, demographically young for the presentation of this size tumor, and highlights the importance of a through trauma workup.