scholarly journals Massive Juvenile Ossifying Fibroma of the Frontal Bone

2014 ◽  
Vol 7 (1) ◽  
pp. 36-39
Author(s):  
SS Bist ◽  
Sarita Mishra ◽  
Vinish Agrawal ◽  
Bhartandu Bharti ◽  
Himanshual Kala

ABSTRACT Ossifying fibroma is a rare, benign fibro-osseous lesion composed of lamellar bone and fibrous tissue. It occurs as an osseous lesion in the craniofacial skeleton. Clinically, lesions are usually asymptomatic, slow-growing and well-circumscribed. However, in very few cases, particularly in younger patients these tumors have demonstrated an aggressive course of development. Surgical management via a wide local excision is a necessity since it is notorious for recurrence, especially paranasal sinuses lesions. Here, we describe a case of a 9-year- old male child who had left forehead swelling with painless, progressive proptosis and downward lateral displacement of the globe for approximately 8 months. Computed tomography showed a massive expansile lesion involving the left frontal bone. The mass was excised surgically via a Lynch Howarth approach and proved histopathologically to be a juvenile ossifying fibroma. The radiological interpretation will be discussed which is helpful for diagnosis and selecting appropriate surgical approach in growing child. How to cite this article Bist SS, Mishra S, Bharti B, Agrawal V, Kala H. Massive Juvenile Ossifying Fibroma of the Frontal Bone. Clin Rhinol An Int J 2014;7(1):36-39.

2012 ◽  
Vol 4 (3) ◽  
pp. 156-159 ◽  
Author(s):  
Sarita Mishra ◽  
Sampan Singh Bist ◽  
Vinish Aggarwal

ABSTRACT Fibro-osseous lesions of the face and paranasal sinuses are relatively uncommon. The biological characteristics of fibroosseous lesions range from indolent to aggressive and from inflammatory to neoplastic. Cemento-ossifying fibroma is a rare, benign fibro-osseous lesion composed of lamellar bone, fibrous tissue and cementum. It is usually found in the jaw bone and presents in several variant pathological subtypes. The overlapping clinical, radiologic and histomorphologic features of these subtypes have led to diagnostic dilemma for the clinician, radiologist and the histopathologist. Clinically, the lesions are usually asymptomatic, slow-growing and wellcircumscribed. However, in very few cases, these tumors have demonstrated an aggressive course of development. Lesions that involve the midface and paranasal sinuses and presenting in earlier age tend to demonstrate aggressive behavior and rapid growth. We describe a case of a 13 years old young boy with aggressively behaving cemento-ossifying fibroma of the maxilla presenting acutely as right cheek swelling with gingival growth. How to cite this article Bist SS, Varshney S, Bhagat S, Mishra S, Aggarwal V. Juvenile Aggressive Cemento-ossifying Fibroma of the Maxilla. Int J Otorhinolaryngol Clin 2012;4(3):156-159.


2021 ◽  
Vol 11 (2) ◽  
pp. 90-95
Author(s):  
Deepali P Mohite ◽  
Devendra H Palve ◽  
Snehal R Udapure ◽  
Vinanti V Bodele ◽  
Mrunali D Jambhulkar ◽  
...  

Fibro-osseous lesions (FOL) are characterized by replacement of normal bone by fibrous tissue containing a newly formed mineralized product. The mineralized product may be ossification (sometimes cementum formation) or calcification of fibrous tissue by metaplasia. These lesions have similar radiographic and histopathologic features hence the term fibre- osseous lesion is not a diagnosis, rather a description of the presence of fibrous and calcified tissue. They may be developmental (fibrous dysplasia), reactive (cemento-osseous dysplasia) or neoplastic (ossifying/cementifying fibroma). This article presents the commonly used classification for fibro-osseous lesions and an insight into a few changes that have been introduced in the recent past with emphasis on Ossifying Fibroma and Osseous Dysplasia.Ossifying fibromas are considered as benign fibro-osseous neoplasms which are principally encountered within the jawbones. Cemento-osseous dysplasias are non-neoplastic fibro- osseous lesion. Since 1971, the World Health Organization classified cemental lesions into 4 distinct entities, as follows: Periapical Cemental Dysplasia, Benign Cementoblastoma (true cementoma), Cementifying Fibroma and Gigantiform Cementoma (GC). The term, gigantiform cementoma, may imply a solitary process but it is misleading because the condition typically presents as slow-growing, multifocal/multiquadrant and expansile lesions involving both jaws. WHO classified it in Osseous dysplasia and El-Mofty et al. under Ossifying fibroma.


2020 ◽  
Vol 13 (12) ◽  
pp. e239286
Author(s):  
Kumar Nilesh ◽  
Prashant Punde ◽  
Nitin Shivajirao Patil ◽  
Amol Gautam

Ossifying fibroma (OF) is a rare, benign, fibro-osseous lesion of the jawbone characterised by replacement of the normal bone with fibrous tissue. The fibrous tissue shows varying amount of calcified structures resembling bone and/or cementum. The central variant of OF is rare, and shows predilection for mandible among the jawbone. Although it is classified as fibro-osseous lesion, it clinically behaves as a benign tumour and can grow to large size, causing bony swelling and facial asymmetry. This paper reports a case of large central OF of mandible in a 40-year-old male patient. The lesion was treated by segmental resection of mandible. Reconstruction of the surgical defect was done using avascular fibula bone graft. Role of three-dimensional printing of jaw and its benefits in surgical planning and reconstruction are also highlighted.


2020 ◽  
Vol 13 (2) ◽  
pp. e233082 ◽  
Author(s):  
Kumar Nilesh ◽  
Aaditee Vande ◽  
Sridhar Reddy

Osteomas are bone tumours arising from the cortical or medullary bones of craniofacial skeleton. Involvement of frontal bone and paranasal sinuses is more frequent than jaw bones. Jaw osteomas are slow growing benign lesions, which are usually asymptomatic or present as painless swelling. Those involving mandibular condyle are relatively rare and result in significant functional and aesthetic disturbances. This paper reports a case of solitary central compact osteoma of mandibular condyle in an adult Indian female patient. A comprehensive review of previously published reports is also presented.


2012 ◽  
Vol 2 ◽  
pp. 52 ◽  
Author(s):  
R Mithra ◽  
Pavitra Baskaran ◽  
M Sathyakumar

Cemento-ossifying fibroma is a benign fibro-osseous lesion belonging to the same category as fibrous dysplasia and cementifying dysplasia. These are slow-growing lesions that are seen in the third and fourth decades of life. Both the ossifying fibroma and cemento-ossifying fibroma represent two extremes of the same disease process since histologically both contain bone and cementum. However, the term cemento-ossifying fibroma is justified on the basis of clinical and radiological correlation. Radiographs have become an essential tool in the diagnosis of lesions in the jaw, where the anatomy is complex. Nowadays, CT provides information for diagnosis as well as treatment planning. In this case series, we report three cases of cemento-ossifying fibroma that were histologically confirmed and discuss the imaging findings.


2013 ◽  
Vol 2 (2) ◽  
pp. 127-129
Author(s):  
Kamran Bokhari ◽  
Mustafa Abdel Bagi ◽  
Mutasim Al Nager ◽  
Sulphi Abdul Basheer ◽  
Mohammed Abdullah M Assiri

ABSTRACT Cemento-ossifying fibroma (COF) is a rare neoplasm representing one of the benign fibro-osseous lesions of the jaw. This benign mesenchymal odontogenic lesion occurs more frequently in women than in men. Clinically, these tumors are slow growing with a centrifugal growth pattern. Radiologically, COFs present a number of patterns depending on the degree of mineralization. Histologically, these lesions are characterized by fibrous tissue with islands of bone or cementiform calcifications. We present a case of COF involving mandible in a 35-year-old male patient treated by excision. How to cite this article Bagi MA, Bokhari K, Al Nager M, Basheer SA, Assiri MAM. Cemento-ossifying Fibroma Involving Mandible. Int J Experiment Dent Sci 2013;2(2):127-129.


Author(s):  
Henry Aldana ◽  
Martin Orozco ◽  
Leonardo Ordoñez ◽  
Clara Estrada ◽  
Camilo Mosquera

Trabecular juvenile ossifying fibroma is a rare fibro-osseous lesion affecting the craniofacial skeleton occurring commonly in children and young adults. Tumor clinical behavior is highly aggressive with invasion of adjacent anatomic structures. Because of its high recurrence rate complete excision is necessary, but this one could be facial mutilating. This case report presents a 23-year-old female patient with a trabecular juvenile ossifying fibroma of the right maxilla, expanding into the orbit and zygomatic bone. The report also shows the multidisciplinary surgical management of this lesion with successful preservation of optic nerve function and facial aesthetics.


2008 ◽  
Vol 33 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Manish Juneja ◽  
Mala Kamboj

Juvenile ossifying fibroma (JOF) is a rare type of fibro osseous lesion affecting the jaws of children under 15 years of age. We report a case of an 8–year–old boy diagnosed with trabecular form of JOF affecting the left maxilla with brief description about its histopathological differential diagnosis.


2018 ◽  
Vol 79 (01) ◽  
pp. 031-036 ◽  
Author(s):  
Meghan Wilson ◽  
Carl Snyderman

Fibro-osseous lesions of the skull base include a variety of lesions with different biologic behavior. The most common lesions include fibrous dysplasia, osteoma, aneurysmal bone cyst, and juvenile ossifying fibroma. The diagnosis can usually be established with radiographic imaging. In the absence of symptoms, slow-growing lesions can often be observed. When surgery is indicated for relief of symptoms, endoscopic endonasal techniques are well suited for all age groups.


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