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

Bruno Ramos Chrcanovic; Belini Freire-Maia

doi:10.5125/jkaoms.2011.37.2.127

Journal List > J Korean Assoc Oral Maxillofac Surg > v.37(2) > 1032457

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Chrcanovic and Freire-Maia: An expanded juvenile ossifying fibroma in maxillary sinus: a case report

Original Article

J Korean Assoc Oral Maxillofac Surg 2011;37(2):127-132.

Published online: 10 January 2011

DOI: https://doi.org/10.5125/jkaoms.2011.37.2.127

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

Bruno Ramos Chrcanovic, Belini Freire-Maia

Department of Oral and Maxillofacial Surgery, School of Dentistry, Pontifl′cia Universidade Catolica de Minas Gerais, Belo Horizonte, Brazil

Bruno Ramos Chrcanovic Av. Raja Gabaglia 1000 / 1209, Gutierrez, Belo Horizonte, Minas Gerais-CEP 30441-070, Brazil TEL: +55-31-91625090 FAX: +55-31-25151579 E-mail: brunochrcanovic@hotmail.com

Received 14 July 2009 Revised 21 January 2011 Accepted 5 February 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Juvenile ossifying fibroma, Benign neoplasm, Maxillary sinus

References

1. Scholl RJ, Kellett HM, Neumann DP, Lurie AG. Cysts and cystic lesions of the mandible: clinical and radiologic-histopathologic review. Radiographics. 1999; 19:1107–24.

2. Knox GW, Roth M, Saleh H, Stiles W. A unique temporal bone lesion resembling juvenile active ossifying myxoma. Am J Otol. 1996; 17:297–300.

3. Johnson LC, Yousefi M, Vinh TN, Heffner DK, Hyams VJ, Hartman KS. Juvenile active ossifying fibroma. Its nature, dynamics and origin. Acta Otolaryngol Suppl. 1991; 488:1–40.

4. Bendet E, Bakon M, Talmi YP, Tadmor R, Kronenberg J. Juvenile cementoossifying fibroma of the maxilla. Ann Otol Rhinol Laryngol. 1997; 106:75–8.

5. Khoury NJ, Naffaa LN, Shabb NS, Haddad MC. Juvenile ossifying fibroma: CT and MR findings. Eur Radiol. 2002; 12(Suppl 3):S109–13.

6. Lawton MT, Heiserman JE, Coons SW, Ragsdale BD, Spetzler RF. Juvenile active ossifying fibroma. Report of four cases. J Neurosurg. 1997; 86:279–85.

7. Slootweg PJ, Mu ¨ller H. Juvenile ossifying fibroma. Report of four cases. J Craniomaxillofac Surg. 1990; 18:125–9.

8. Kramer IRH, Pindborg JJ, Shear M. Histological typing of odontogenic tumours. 2nd ed.Berlin: Springer-Verlag;1992.

9. Leimola-Virtanen R, Va ¨ha ¨talo K, Syrja ¨nen S. Juvenile active ossifying fibroma of the mandible: a report of 2 cases. J Oral Maxillofac Surg. 2001; 59:439–44.

10. Ferris NJ, Tien RD. Ethmoid mucocele in an infant with a benign fibroosseous lesion. AJNR Am J Neuroradiol. 1995; 16:473–5.

11. Slootweg PJ, Panders AK, Koopmans R, Nikkels PG. Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Pathol Med. 1994; 23:385–8.

12. Brannon RB, Fowler CB. Benign fibroosseous lesions: a review of current concepts. Adv Anat Pathol. 2001; 8:126–43.

13. Bertrand B, Eloy P, Cornelis JP, Gosseye S, Clotuche J, Gilliard C. Juvenile aggressive cementoossifying fibroma: case report and review of the literature. Laryngoscope. 1993; 103:1385–90.

14. Cawson RA, Binnie WH, Eveson JW. Color atlas of oral disease: clinical and pathologic correlations. 2nd ed.London: Wolfe Publishing;1994.

15. Kuta AJ, Worley CM, Kaugars GE. Central cementoossifying fibroma of the maxillary sinus: a review of six cases. AJNR Am J Neuroradiol. 1995; 16:1282–6.

16. Regezi JA, Sciubba JJ. Oral pathology: clinical pathologic correlations. 2nd ed.Philadelphia: Saunders;1993.

17. Fakadej A, Boynton JR. Juvenile ossifying fibroma of the orbit. Ophthal Plast Reconstr Surg. 1996; 12:174–7.

18. Zama M, Gallo S, Santecchia L, Bertozzi E, de Stefano C. Juvenile active ossifying fibroma with massive involvement of the mandible. Plast Reconstr Surg. 2004; 113:970–4.

Fig. 1.

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

Fig. 2.

Upper view of the face.

Fig. 3.

Expanded right palate.

Fig. 4.

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

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.