J Korean Assoc Oral Maxillofac Surg.  2011 Apr;37(2):127-132. 10.5125/jkaoms.2011.37.2.127.

An expanded juvenile ossifying fibroma in maxillary sinus: a case report

• Chrcanovic BR
• Freire-Maia B

• KMID: 2137002
• DOI: http://doi.org/10.5125/jkaoms.2011.37.2.127

Abstract

Juvenile ossifying fibroma is an expansive intraosseous lesion of the bones. In most patients, the tumors are located in the facial bones. The main characteristics of juvenile ossifying fibroma are the early age of onset, localization of the tumor, radiological pattern and a tendency for recurrence. This article describes a case of expanded juvenile ossifying fibroma in the right maxilla in a 12-year old boy. The lesion was removed totally by surgery under general anesthesia. The patient showed no radiological signals of recurrence approximately two years after surgery.

Keyword

Juvenile ossifying fibroma; Benign neoplasm; Maxillary sinus

MeSH Terms

Age of Onset
Anesthesia, General
Facial Bones
Fibroma, Ossifying
Humans
Maxilla
Maxillary Sinus
Recurrence

Figure

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  Fig. 1. Frontal view revealing a unilateral swelling of the right middle-face.

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  Fig. 2. Upper view of the face.

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  Fig. 3. Expanded right palate.

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  Fig. 4. Panoramic X-ray showing a multi-locular lesion appearance.

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  Fig. 5. Histological sections. A: Numerous osseous spicules. B: Giant cells adjacent to the bony spicules, which are lined by lightly eosinophilic material, suggestive of osteoid.

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  Fig. 6. Computed tomography. Axial section.

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  Fig. 7. Computed tomography. Coronal section.

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  Fig. 8. Three-dimensional computed tomography. Frontal view.

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  Fig. 9. Three-dimensional computed tomography. Lateral view.

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  Fig. 10. Three-dimensional computed tomography showing the extensive dislocation of second and third molars.

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  Fig. 11. A Weber-Fergusson approach was made to expose the external part of the lesion.

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  Fig. 12. The tumor was removed in several pieces.

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  Fig. 13. Titanium miniplates were placed to avoid complete collapse of the right cheek.

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  Fig. 14. Follow-up of two years.

Reference

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