Choi Y C, Jeon E J, Park Y S
Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Int J Pediatr Otorhinolaryngol. 2000 Aug 31;54(2-3):159-62. doi: 10.1016/s0165-5876(00)00349-9.
Ossifying fibroma, a rare tumor entity, is a well-demarcated benign fibro-osseous tumor composed of bone, fibrous tissue and cementum. It is commonly found in the mandible, but also found in the maxilla and paranasal sinuses. Simple curettage is enough when the fibrous lesions are located in the mandible but a complete en bloc excision is required when these lesions are located in the maxilla and paransal sinuses to relieve symptoms and prevent recurrence. With the advent of sinonasal endoscopy in the mid 1980s, and subsequent advances in surgical techniques, endoscopic management of the fibrous-osseous lesions has become possible. In the current case study, we report a successful endoscopic removal of a huge ossifying fibroma located in the right ethmoid sinus and nasal cavity.
骨化性纤维瘤是一种罕见的肿瘤实体,是一种边界清晰的良性纤维骨性肿瘤,由骨、纤维组织和牙骨质组成。它常见于下颌骨,但也见于上颌骨和鼻窦。当纤维性病变位于下颌骨时,单纯刮除术就足够了,但当这些病变位于上颌骨和鼻窦时,则需要进行完整的整块切除,以缓解症状并防止复发。随着20世纪80年代中期鼻内镜技术的出现以及随后手术技术的进步,纤维骨性病变的内镜治疗成为可能。在本病例研究中,我们报告了一例成功通过内镜切除位于右侧筛窦和鼻腔的巨大骨化性纤维瘤的病例。