Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ahvaz Jundishapur University of Medical Sciences

A Novel Treatment of Aggressive Psammomatoid Juvenile Ossifying Fibroma: A Case Report

Badri, Amirali and Shirafkan, Saeed and Razavi, Mahshid and Atarbashi Moghadam, Saedeh (2014) A Novel Treatment of Aggressive Psammomatoid Juvenile Ossifying Fibroma: A Case Report. Jentashapir Journal of Health Research., 5.


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Introduction: Juvenile ossifying fibroma is a benign, bone-forming neoplasm with aggressive local growth that is distinguished from other fibro-osseous lesions primarily by its age of onset, clinical presentation and aggressive behavior. Although a benign entity, juvenile ossifying fibroma is known to be locally aggressive and has a high tendency to recur. Two distinctive microscopic patterns have been described: a trabecular variant and a psammomatoid variant. This latter variant is predominantly a craniofacial lesion and occurs rarely in the jaws. Treatment plans include a range of enucleation to total resection. Case Presentation: Reported here is a case of a huge psammomatoid juvenile ossifying fibroma of the maxilla in a 19-year-old man. Right maxillectomy was done while brain exposure in sphenoid and ethmoidal region was covered with fat and bone graft. After 1 year follow up, an endosseous dental implant was inserted in right lateral pterygoid plate. Conclusions: Six months later an obturator was made over that osseointegrated implant to reconstruct the anatomic defect, achieving functional rehabilitation and satisfactory facial appearance.

Item Type: Article
Keywords: Keywords: Maxilla; Ossifying Fibroma; Dental Implant
Subjects: R Medicine > RZ Other systems of medicine
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: آقای بهرام سوسنی غریب وند
Date Deposited: 05 Feb 2018 07:56
Last Modified: 05 Feb 2018 07:56

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