Acosta Lizeth A, Aamer Sarah, Becher Monica, Cucalon Calderon Jose
Pediatrics and Child Health, University of Nevada Reno School of Medicine, Reno, USA.
Pediatrics, University of Nevada Reno School of Medicine, Reno, USA.
Cureus. 2023 Jun 6;15(6):e40059. doi: 10.7759/cureus.40059. eCollection 2023 Jun.
Juvenile ossifying fibroma (JOF) is a rare benign neoplastic fibro-osseous tumor commonly found in the maxilla and mandible of children usually between the ages of five and 15. Patients often present with aggressive, painless growth which is well demarcated from surrounding bone resulting in severe facial asymmetry. JOFs have high recurrence rates if not completely resected and should therefore be treated by a multidisciplinary team of physicians including a neurosurgeon to assess cranial nerve function. This case describes a child who presented to the ED after being referred by his primary care provider for facial swelling. The patient was diagnosed with JOF and had a delay in care due to a lack of access to multidisciplinary specialties to provide care due to payer difficulties which placed the patient at high risk of complications.
青少年骨化性纤维瘤（JOF）是一种罕见的良性肿瘤性纤维-骨肿瘤，常见于5至15岁儿童的上颌骨和下颌骨。患者通常表现为侵袭性、无痛性生长，与周围骨质界限清晰，导致严重的面部不对称。如果不完全切除，JOF的复发率很高，因此应由包括神经外科医生在内的多学科医生团队进行治疗，以评估颅神经功能。本病例描述了一名儿童，他在初级保健提供者转诊后因面部肿胀被送往急诊科。该患者被诊断为JOF，由于支付方困难导致无法获得多学科专科护理，从而出现护理延迟，这使患者面临高并发症风险。
