Hakeem Arsheed H, Hakeem Imtiyaz H
Fortis Cancer Center, Mulund West, Mumbai, Maharashtra, India.
J Craniofac Surg. 2011 Sep;22(5):1976-7. doi: 10.1097/SCS.0b013e31822eaaa0.
Juvenile ossifying fibroma is a rare fibro-osseous neoplasm seen in the pediatric age group of 5 to 15 years. It has been recognized as a separate histopathologic entity among the fibro-osseous group of lesions. Occasionally, it may grow aggressively and extend to involve the orbits and skull base, resulting in serious cosmetic and functional problems. We present a case of a juvenile ossifying fibroma arising below the skull base of a 9-year-old boy. This case demonstrates that cemento-ossifying fibroma in case of maxilla grow to considerable size before causing symptoms because of the remodeling of the surrounding bony compartment and intraoral sublabial approach can be used to excise lesion completely even at the skull base.
青少年骨化性纤维瘤是一种罕见的纤维骨性肿瘤,见于5至15岁的儿童年龄组。它已被公认为是纤维骨性病变组中的一种独立的组织病理学实体。偶尔,它可能会侵袭性生长并累及眼眶和颅底,导致严重的美容和功能问题。我们报告一例9岁男孩颅底下方发生的青少年骨化性纤维瘤病例。该病例表明,上颌骨的牙骨质骨化性纤维瘤在引起症状之前会生长到相当大的尺寸,这是由于周围骨腔的重塑,并且即使在颅底,经口内唇下入路也可用于完全切除病变。