Korean J Otolaryngol-Head Neck Surg.  2006 Dec;49(12):1212-1216.

A Case of Psammomatoid Ossifying Fibroma of Sinonasal Tract Presenting with a Facial Deformity and Choanal Atresia

• Chang JS
• Kim KJ
• Lee HK
• Han WJ

Abstract

The psammomatoid ossifying fibroma consisted of numerous cellular fibrous stroma, various bony trabeculae and calcified spherules (psammoma bodies) is known to typically involve the sinonasal tract. It is more destructive than the other benign fibroosseous lesions. Clinical manifestations vary from proptosis, nasal obstruction and headache to cosmetic disfigurement, depending on the location and the size of lesion. Complete surgical excision is the treatment of choice because of its tendency to recur. The author recently experienced a psammomatoid ossifying fibroma of sinonasal tract in a 37-year-old male with a facial deformity and choanal atresia, had a history of incomplete surgical excision. The choanal atresia was completely removed by endoscopic approach and the mass in the sinonasal tract was removed by midfacial degloving approach. We report this case with review of the literature.

Keyword

Ossifying fibroma; Sinonasal tract; Facial deformity; Choanal atresia

MeSH Terms

Adult
Choanal Atresia*
Congenital Abnormalities*
Exophthalmos
Fibroma, Ossifying*
Headache
Humans
Male
Nasal Obstruction