Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

OSSIFYING FIBROMA OF THE MAXILLARY SINUS : A CASE REPORT

상악동에 발생한 골화성 섬유종 : 증례보고

  • Moon, Chul-Woong (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Hak-Kyun (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Moon-Soo (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Ha, Jeong-Wan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Choi, Dong-Kook (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Young-Jong (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Yoon, Jung-Hoon (Oral Pathology, BK 21 Project, College of Dentistry, Chosun University)
  • 문철웅 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김학균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김문수 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 하정완 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 최동국 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김영종 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 윤정훈 (조선대학교 치과대학 구강병리학교실, BK 21 Project)
  • Published : 2005.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Ossifying fibroma is a rare, benign, fibro-osseous tumor of mesenchymal origin. It develops mainly in the mandible, where it is usually slow growing and asymptomatic, whereas in the maxilla and paranasal sinus, it is more aggressive. The vast majority are located in the posterior region of the mandible; however, ossifying fibroma involving the maxillary sinus is uncommon. It may reach a very large size and cause facial asymmetry. It shows a female predilection, and most cases are seen in the third and fourth decades of life. Radiographically, ossifying fibroma is radiolucent or radiopaque depending on the amount of calcification. Histologically, the tumor consists of a cementum-like or bony mass. Ossifying fibroma shares many histopathologic features with fibrous dysplasia. Their radiographic features may help to separate these entities when pathological differentiation is uncertain. It is important to differentiate ossifying fibroma from fibrous dysplasia. The treatment of ossifying fibroma involves its complete removal using curettage, enucleation, excision, or en bloc resection. This case report presents an unusual case of ossifying fibroma of the maxillary sinus. We describe a Caldwell-Luc operation with a lateral window approach for excision of an ossifying fibroma of the maxillary sinus.

Keywords

References

  1. Bradley ES, Leeke D : Ossifying fibroma involving the maxilla and mandible. Oral Surg 26 : 605, 1968 https://doi.org/10.1016/0030-4220(68)90424-6
  2. Eversole LR, Leider AS, Nelson K : Ossifying fibroma: a clinicopathologic study of 64 cases. Oral Surg Oral Med Oral Pathol 60 : 505, 1985 https://doi.org/10.1016/0030-4220(85)90239-7
  3. Post G, Kountakis SE : Endoscopic resection of large sinonasal ossifying fibroma. Am J Otolaryngol 26 : 54, 2005 https://doi.org/10.1016/j.amjoto.2004.06.009
  4. Miller SI : Resident's page, pathologic quiz. Arch Otolaryngol 105 : 742, 1979 https://doi.org/10.1001/archotol.1979.00790240056015
  5. Montgomery AH : Ossifying fibroma of the jaw. Arch Surg 15 : 30, 1927 https://doi.org/10.1001/archsurg.1927.01130190033002
  6. Su L, Weathers DR, Waldron CA : Distinguishing features of focal cemento-osseous dysplasia and cemento-ossifying fibromas: a clinicl and radiologic spectrum of 316 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85 : 540, 1997
  7. Eversole LR, Merrell PW, Strub D : Radiographic characteristics of central ossifying fibroma. Oral Surg Oral Med Oral Pathol 59 : 522, 1985 https://doi.org/10.1016/0030-4220(85)90096-9
  8. Choi YC, Jeon E, Park YS : Ossifying fibroma arising in the ethmoid sinus and nasal cavity. Int J Pediatr Otorhinolaryngol 54 : 159, 2000 https://doi.org/10.1016/S0165-5876(00)00349-9
  9. Wenig BL, Sciubba JJ, Goldsterin MN, et al : A destructive maxillary cemento-ossifying fibroma following maxillofacial trauma. Laryngoscope 94 : 805, 1984
  10. Waldron CA : Fibro-osseous lesions of the jaw. J Oral Surg 28 : 58, 1970
  11. Yih WY, Pederson GT, Bartley MH Jr : Multiple familial ossifying fibromas: relationship to other osseous lesions of the jaws. Oral Surg Oral Med Oral Pathol 68 : 754, 1989 https://doi.org/10.1016/0030-4220(89)90167-9
  12. Neville BW, Damm DD, Allen CM, et al : Oral and Maxillofacial Pathology. Philadelphia, WB Sanders, 1995, pp. 460-472
  13. Voytek TM, Ro JY, Edeiken J, et al : Fibrous dysplasia and cemento-ossifying fibroma: a histologic spectrum. Am J Surg Pathol 19 : 775, 1995 https://doi.org/10.1097/00000478-199507000-00005
  14. Koury ME, Regezi JA, Perrot DH, et al : Atypical fibroosseous lesions: diagnostc challenges and treatment concepts. Int J Oral Maxillofac Surg 24 : 162, 1995 https://doi.org/10.1016/S0901-5027(06)80094-9
  15. Slootweg PJ, Panders AK, Nikkels PGJ : Juvenile ossifying fibroma. An analysis of 33 cases with emphasis on histopathological aspects. J Oral Maxillofac Surg 24 : 162, 1995 https://doi.org/10.1016/S0901-5027(06)80094-9
  16. Slootweg PJ, Muller H : Differential diagnosis of fibroosseous jaw lesions: a histological investigation on 30 cases. J Craniomaxillofac Surg 18 : 210, 1990 https://doi.org/10.1016/S1010-5182(05)80413-5
  17. Chong VFH, Tan LHC : Maxillary sinus ossifying fibroma. Am J Otolaryngol 18 : 419, 1997 https://doi.org/10.1016/S0196-0709(97)90065-X
  18. Slootweg PJ, Muller H : Juvenile ossifying fibroma: report of 4 cases. J Craniomaxillofac Surg 18 : 125, 1990 https://doi.org/10.1016/S1010-5182(05)80329-4
  19. Kramer IRH, Pindborg JJ, Shear J : Histologic typing of odontogenic tmors. World Health Organization. 2nd ed. Berlin Germany, Springer-Verlag, 1992
  20. Johnson LC, Yousefi M, Vihn TN, et al : Juvenile active ossifying fibroma: its nature, dynamics and origin. Acta Otolaryngol Suppl (Stockh) 488 : 1, 1991
  21. Kreutziger KL, Weiss LS : Ossifying fibroma: resection of recurrent mandibular lesion with microsurgical preservation of inferior alveolar nerve and immediate reconstruction. South Med J 87 : 653, 1994 https://doi.org/10.1097/00007611-199406000-00015
  22. Sweet RM, Bryarly RC, Kornblut AD, et al : Recurrent ossifying fibroma of the jaws. Laryngoscope 91 : 1137, 1981
  23. Marvel JB, Marsh MA, Catlin FI : Ossifying fibroma of the mid-face and paranasal sinuses: diagnostic and therapeutic considerations. Otolaryngol Head Neck Surg 104 : 803, 1991 https://doi.org/10.1177/019459989110400606
  24. London SD, Schlosser RJ, Gross CW : Endoscopic management of benign sinonasal tumors: a decade of experience. Am J Rhinol 16 : 221, 2002