Autopsy and Case Reports
https://autopsyandcasereports.org/article/doi/10.4322/acr.2021.411
Autopsy and Case Reports
Clinical Case Report

Psammomatoid juvenile ossifying fibroma of frontal sinus – surgical and reconstructive approach

Jefferson Rocha Tenório; Paulo Roberto de Alencar Bártholo; Mário José Romañach; Aline Corrêa Abrahão; Michelle Agostini; Bruno Augusto Benevenuto de Andrade

Downloads: 0
Views: 380

Abstract

Psammomatoid juvenile ossifying fibroma (PJOF) is a benign fibro-osseous lesion that mainly affects the paranasal sinuses and periorbital bones. It may cause significant esthetic and functional impairment. Herein, we describe the diagnosis and surgical approach of an extensive PJOF arising in the frontal sinus of a young male. After complete lesion removal and histopathological confirmation, the bone defect was repaired with a customized polymethylmethacrylate implant. PJOF may present aggressive clinical behavior. The excision of extensive PJOF in the orbitofrontal area can result in significant esthetic defects. Polymethacrylate implants restore functionally and esthetically the involved area.

Keywords

Fibroma, Ossifying, Neoplasms, Bone Tissue, Reconstructive Surgical Procedures, rehabilitation

References

1 MacDonald DS. Classification and nomenclature of fibro-osseous lesions. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;131(4):385-9. http://dx.doi.org/10.1016/j.oooo.2020.12.004. PMid:33518490.

2 Desai RS, Bansal S, Shirsat PM, Prasad P, Sattar S. Cemento-ossifying fibroma and juvenile ossifying fibroma: clarity in terminology. Oral Oncol. 2021;113:105050.http://dx.doi.org/10.1016/j.oraloncology.2020.105050. PMid:33129707.

3 Chrcanovic BR, Gomez RS. Juvenile ossifying fibroma of the jaws and paranasal sinuses: a systematic review of the cases reported in the literature. Int J Oral Maxillofac Surg. 2020;49(1):28-37.http://dx.doi.org/10.1016/j.ijom.2019.06.029. PMid:31285096.

4 Sopta J, Dražić R, Tulić G, Mijucić V, Tepavčević Z. Cemento-ossifying fibroma of jaws-correlation of clinical and pathological findings. Clin Oral Investig. 2011;15(2):201-7. http://dx.doi.org/10.1007/s00784-010-0381-2. PMid:20151312.

5 Bai Y, Zhou G, Nakamura M, et al. Survival impact of psammoma body, stromal calcification, and bone formation in papillary thyroid carcinoma. Mod Pathol. 2009;22(7):887-94. http://dx.doi.org/10.1038/modpathol.2009.38. PMid:19305382.

6 Solomon DA, Pekmezci M. Pathology of meningiomas. Handb Clin Neurol. 2020;169:87-99. http://dx.doi.org/10.1016/B978-0-12-804280-9.00005-6. PMid:32553300.

7 Wang M, Zhou B, Cui S, Li Y. Juvenile psammomatoid ossifying fibroma in paranasal sinus and skull base. Acta Otolaryngol. 2017;137(7):743-9. http://dx.doi.org/10.1080/00016489.2016.1276302. PMid:28125310.

8 Linhares P, Pires E, Carvalho B, Vaz R. Juvenile psammomatoid ossifying fibroma of the orbit and paranasal sinuses. A case report. Acta Neurochir (Wien). 2011;153(10):1983-8.http://dx.doi.org/10.1007/s00701-011-1115-1. PMid:21826543.

9 Frodel JL Jr. Computer-designed implants for fronto-orbital defect reconstruction. Facial Plast Surg. 2008;24(1):22-34. http://dx.doi.org/10.1055/s-2007-1021459. PMid:18286431.

10 Titinchi F. Juvenile ossifying fibroma of the maxillofacial region: analysis of clinico-pathological features and management. Med Oral Patol Oral Cir Bucal. 2021;26(5):e590-7. http://dx.doi.org/10.4317/medoral.24592. PMid:34162821.

11 Turin SY, Purnell C, Gosain AK. Fibrous dysplasia and juvenile psammomatoid ossifying fibroma: a case of mistaken identity. Cleft Palate Craniofac J. 2019;56(8):1083-8.http://dx.doi.org/10.1177/1055665619833294. PMid:30813749.

12 Alkhaibary A, Alharbi A, Alnefaie N, Almubarak AO, Aloraidi A, Khairy S. Cranioplasty: a comprehensive review of the history, materials, surgical aspects, and complications. World Neurosurg. 2020;139:445-52. http://dx.doi.org/10.1016/j.wneu.2020.04.211. PMid:32387405.

13 Oliver JD, Banuelos J, Abu-Ghname A, et al. Alloplastic cranioplasty reconstruction: a systematic review comparing outcomes with titanium mesh, polymethyl methacrylate, polyether ether ketone, and norian implants in 3591 adult patients. Ann Plast Surg. 2019;82(5S Suppl 4):S289-S294.

14 Schön SN, Skalicky N, Sharma N, Zumofen DW, Thieringer FM. 3D-printer-assisted patient-specific polymethyl methacrylate cranioplasty: a case series of 16 consecutive patients. World Neurosurg. 2021;148:e356-62. http://dx.doi.org/10.1016/j.wneu.2020.12.138. PMid:33418118.
 


Submitted date:
07/22/2022

Accepted date:
11/13/2022

Publication date:
11/30/2022

63877c78a9539524397b52b2 autopsy Articles
Links & Downloads

Autops Case Rep

Share this page
Page Sections