Padilla AL, Díaz BE, Guevara PE, Baca PI

Language: Spanish
References: 6
Page: 57-64
PDF size: 364.47 Kb.

ABSTRACT

Background: Juvenile ossifying fibroma is an uncommon fibro-osseus tumor that arises from craniofacial skeleton, it is characterized for a local aggressive behavior and high rates of recurrence compared with conventional ossifying fibroma. Its clinical course is insidious with unspecific symptoms.
Clinical case: A six-year-old female patient without chronic degenerative diseases. She began in the previous two months with bulking in the right malar region, hyaline rhinorrhea, nasal obstruction, and exophthalmos. It was observed a painless, immobile tumor in the right maxillary region measuring 5 x 4 cm with firm consistency. Right eye with exophthalmos without limitation in eyeball movement or visual acuity. Nose with left displacement of nasal pyramid, by anterior rhinoscopy it was noted a tumor at Cottle’s area II that protruded from middle meatus, obstructing 70% of lumen, pink-colored, irregular margins, poorly delimited. The histopathological report of incisional biopsy was of juvenile ossifying fibroma trabecular variant. After preoperative embolization, it was performed a combined approach achieving complete resection of the tumor. The patient had a favorable clinical evolution.
Conclusions: Juvenile ossifying fibromas are lesions of an aggressive nature, despite being benign lesions. Its timely diagnosis and treatment are essential to reduce the risk of possible serious and deforming complications, with loss of structures adjacent to the injury. Its low frequency and non-specific clinical manifestation can make it difficult to suspect.

REFERENCES

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