Introduction:
There has been much debate in the literature regarding the preferred method of central giant cell granulom (CGCG) treatment. Non-surgical methods are widely accepted, including intralesional corticosteroid injections, calcitonin therapy and the rarely used interferon therapy but surgical excision is the preferred method of treatment.

Aim:
The objective of this study was to describe our experience in the surgical treatment of CGCG in the paediatric population.

Case study:
A case study of 9 paediatric patients with the average age of 10 years is discussed in this article. Most patients were diagnosed with mandibular CGCG lesions, and multifocal tumours localized in the mandible and the maxilla were noted in 2 cases.

Results and discussion:
The surgical procedures performed in our department included enucleation (2 patients), en bloc resection (2 patients) and segmental resection (5 patients). Segmental resections require further reconstruction. A surgically created defect is repaired with the involvement of frozen or autologous bone grafts, distraction osteogenesis and microvascular customized multiple tissue flaps.

Conclusions:
Our experience indicates that despite the use of a meticulous surgical technique, patients at risk of tumour recurrence have to remain under strict clinical observation.