Juvenile ossifying fibroma of the mandible. An 8 year radiological follow-up

ABSTRACT Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term. How to cite this article Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

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Juvenile Ossifying Fibroma in a Juvenile Diabetic: A Case Report with Surgical Management

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1012 ◽

2010 ◽

Vol 1 (1) ◽

pp. 59-64

Author(s):

Jagadish Hosmani ◽

Sujata M Byahatti ◽

Ranganath Nayak ◽

Ramakant Nayak ◽

Bhushan Jayade

Keyword(s):

High Recurrence Rate ◽

Ossifying Fibroma ◽

Histopathological Diagnosis ◽

Massive Growth ◽

Juvenile Ossifying Fibroma ◽

Histological Variants ◽

Long Term Follow Up ◽

Juvenile Diabetic

ABSTRACT Juvenile ossifying fibroma (JOF) is a highly aggressive uncommon fibro-osseous lesion occurring in the facial bones. Two histological variants of JOF, i.e. trabecular and psammomatoid have been reported. Here we present a case of a 20-year-old juvenile diabetic patient with massive growth on her left side of the jaw which was diagnosed as juvenile ossifying fibroma. This huge aggressive mass in the left side of the mandible had lead to complete lingual tilting of molars and premolars. After clinical and radiological examination, a biopsy led to the histopathological diagnosis of mixed variant of juvenile ossifying fibroma. The required surgical treatment (hemimandibulectomy) was undertaken under GA. The aggressive local behavior and high recurrence rate of JOF emphasizes the need for an early diagnosis, and appropriate radical treatment with long-term follow-up. One such case is reviewed and discussed in detail in the following article.

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Juvenile psammomatoid ossifying fibroma of maxilla: A case report

Journal of Oral Medicine Oral Surgery Oral Pathology and Oral Radiology ◽

10.18231/j.jooo.2021.064 ◽

2022 ◽

Vol 7 (4) ◽

pp. 247-249

Author(s):

Vasvani M Dimple ◽

Irom Urmila ◽

Tuladhar Alisha ◽

Neeraj ◽

Chug Ashi

Keyword(s):

Recurrence Rate ◽

High Recurrence Rate ◽

Ossifying Fibroma ◽

Complete Excision ◽

Juvenile Ossifying Fibroma ◽

Histological Variant ◽

Oral Approach ◽

Psammomatoid Ossifying Fibroma ◽

Very High

Juvenile psammomatoid ossifying fibroma is histological variant of juvenile ossifying fibroma, a fibro-osseous tumor of craniofacial bones with benign but potentially aggressive nature. Complete excision of tumor is essential as it is associated with very high recurrence rate. We have reported here a case of juvenile ossifying fibroma- a psammomatoid variety present in right maxilla in a 13-year old male child. Complete excision of tumor was done through intra-oral approach with the 2.5 years of follow up shows no recurrence.Juvenile psammomatoid ossifying fibroma is fibro-osseous tumor of craniofacial bones with benign but potentially aggressive nature. Complete excision of tumor is essential as it is associated with very high recurrence rate.

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Intracranial extended Psammomatoid Juvenile Ossifying Fibroma: case report and systematic review

International Archives of Medicine ◽

10.3823/2621 ◽

2020 ◽

Vol 13 ◽

Author(s):

Glaucia Suzanna Jong-A-Liem ◽

Bruno Vilhena Nascimento ◽

Carlos Dos Reis Lisboa-Neto ◽

Joel Monteiro de Jesus ◽

Edson Bor-Seng-Shu ◽

...

Keyword(s):

Systematic Review ◽

Case Report ◽

Ossifying Fibroma ◽

Histopathological Analysis ◽

Juvenile Ossifying Fibroma ◽

Younger Age ◽

Benign Nature ◽

Orbital Space ◽

Base Of The Skull

Psammomatoid Juvenile Ossifying Fibroma is an uncommon fibro-osseous neoplasm of aggressive but benign nature found in the younger age. Its aggressive path can lead to facial deformation, eye proptosis, and development of intracranial extensions leading to various neurological symptoms. A systematic review based by the MOOSE guideline in Medline, EMBASE and Lilacs, resulted in 23 reported cases of intracranial extended PJOF. Hence, we found it relevant to present a case report of a 15-year-old male with facial deformation and left eye proptosis absent of visual disturbances with PJOF. The lesion was present in the left anterior base of the skull and extended to the intra-orbital space and over the zygomatic arch. The diagnosis was only confirmed as PJOF by histopathological analysis of the completely resected lesion. Follow up visits documented unremarkable regression of the facial deformity and post-op images showed a completely resected lesion. Our case raises the need to be aware of this rare tumor that can be confused with a meningioma or other intracranial tumors.

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Massive juvenile ossifying fibroma arising from the middle turbinate

BMJ Case Reports ◽

10.1136/bcr-2020-234432 ◽

2020 ◽

Vol 13 (4) ◽

pp. e234432

Author(s):

Valentinos Sofokleous ◽

Konstantina Chrysouli ◽

Efthymios Kyrodimos ◽

Evangelos Giotakis

Keyword(s):

Histopathological Examination ◽

Therapeutic Option ◽

Correct Diagnosis ◽

Middle Turbinate ◽

Ossifying Fibroma ◽

Endoscopic Endonasal ◽

Juvenile Ossifying Fibroma ◽

History Of

A 19-year-old man presented with a long-standing history of nasal obstruction, which gradually became worse over the past 2 years. Nasal endoscopy revealed a sizeable rounded mass covered by a normal-looking mucosa. Imaging studies showed a mass arising from the left middle turbinate that extended throughout the expanse of the anterior skull base. The tumour was resected via an endoscopic endonasal approach. Histopathological examination revealed a psammomatoid juvenile ossifying fibroma. The patient remains free of recurrence after almost 3 years of follow-up. Only four cases of ossifying fibroma with middle turbinate localisation have been reported in the literature so far, with our case representing the fifth and most extensive case. Clinical, radiological and histological findings should all be considered for establishing the correct diagnosis. An endoscopic approach represents an excellent therapeutic option. Long-term clinical and radiological surveillance is required due to the risk of recurrence.

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Synchronous Juvenile ossifying Fibroma in maxilla and mandible- A case report

Journal of Chitwan Medical College ◽

10.3126/jcmc.v4i2.10867 ◽

2014 ◽

Vol 4 (2) ◽

pp. 54-57

Author(s):

B Shrestha ◽

S Subedi ◽

S Pandey

Keyword(s):

Histopathological Examination ◽

Ossifying Fibroma ◽

Medical College ◽

Appropriate Treatment ◽

Juvenile Ossifying Fibroma ◽

Long Term Follow Up ◽

Maxilla And Mandible ◽

The Right

Juvenile ossifying fibroma (JOF), one of the fibroosseous lesions is an uncommon clinical entity and involving both jaw is even rarer. Here, we present the case of a 15-year-old female patient with synchronous occurrence of JOF in the right sided maxilla and in the periapical area of mandibular right premolar molar region. After the clinical, radiographical and histopathological examination, the surgical treatment was carried out and the patient was kept under long term follow up. Owning to its aggressive local behaviour and high recurrence, early diagnosis, appropriate treatment and long term regular follow up are of prime importance. DOI: http://dx.doi.org/10.3126/jcmc.v4i2.10867 Journal of Chitwan Medical College 2014; 4(2): 54-57

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Giant juvenile ossifying fibroma from diagnosis to management: A rare case

Journal of Medicine and Health Sciences Research ◽

10.21839/jmhsr.2020.v3.341 ◽

2020 ◽

Vol 3 ◽

pp. 6

Author(s):

Ejaz Ahmad Mokhtar ◽

Sumit Verma ◽

Shamshad Alam ◽

Qalbi Fatima

Keyword(s):

Benign Tumor ◽

Conservative Surgery ◽

Young Female ◽

Patient Specific ◽

Ossifying Fibroma ◽

Maxillofacial Region ◽

Juvenile Ossifying Fibroma ◽

Defect Area ◽

Rare Benign Tumor

Juvenile aggressive ossifying fibroma is a rare, benign tumor of the maxillofacial region that is aggressive and recurrent leading to multiple surgeries causing maxillofacial defect and deformities. The management of patients with ossifying fibroma is controversial. The aim was to report a case of huge ossifying fibroma involving maxilla, zygoma, and orbit in a young female with a duration of 15 years. The patient was operated multiple times but the lesion recurred. Patient-specific implant was fabricated to replace the defect area which would be created after surgery but with meticulous intraoperative decision the high morbid surgery was changed to conservative surgery. No recurrence was seen after two year follow up. The patient aesthetic has also improved. In conclusion it can be said in huge benign ossifying fibroma morbid surgery should be avoided.

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Juvenile ossifying fibroma (JOF) – A rare case report

GSC Advanced Research and Reviews ◽

10.30574/gscarr.2021.8.1.0135 ◽

2021 ◽

Vol 8 (1) ◽

pp. 098-102

Author(s):

Santosh Kumar Kumhar ◽

Gaurav Mittal ◽

Anmol Agarwal ◽

Akash Bhatt

Keyword(s):

Case Report ◽

Clinical Symptoms ◽

Ossifying Fibroma ◽

Present Case Report ◽

Juvenile Ossifying Fibroma ◽

Wide Range ◽

High Incidence ◽

Rare Case Report ◽

Single Mass

Juvenile ossifying fibroma (JOF) is a rare, benign, bone forming lesion of children and adolescents. When sited in the jaws, it is considered as an aggressive form of ossifying fibroma presenting with a wide range of clinical symptoms and a high incidence of recurrence. Although early detection and management is thought to eradicate it completely. The present case report focuses on the surgical yet conservative management of JOF in a 5 years old boy who reported with a year-long, progressive swelling on the left side of his face. The tumour was excised with minimal surgical intervention into a clearly defined and lobulated single mass using maxillary vestibular incision under general anaesthesia. The postoperative course was uneventful, and no signs of recurrence were found in the next 6 months follow-up period.

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