Cemento-ossifying fibroma of maxillary antrum in a young female patient

Abstract

The cemento-ossifying fibroma is classified as a fibro-osseous lesion of the jaws. It commonly presents as a progressively growing lesion that can attain an enormous size with resultant deformity if left untreated. The cemento-ossifying fibroma is a central neoplasm of bone as well as periodontium which has caused considerable controversy because of controversy regarding terminology and the criteria for its diagnosis. This case report describes a female patient with cemento-ossifying fibroma involving maxillary antrum. The clinical, radiographic and histological features as well as the surgical findings are presented.

Resezione endoscopica di un fibroma ossificante interessante il seno etmoidale, l’orbita e il basicranio anteriore: case report e revisione della letteratura

“…OF typically presents in the mandible (75%) and thus is usually reported and treated by oral surgeons. Other reported locations of OF are maxilla, frontal bone, sphenoid bone, ethmoid bone, temporal bone, orbit, anterior cranial fossa and auricula 1 5 6 8 - 12 . The otolaryngologist's concern lies with the extramandibular presentation because OF is believed to behave more aggressively than its mandibular counterpart and requires complete surgical resection 13 .…”

“…Continuously evolving techniques in endonasal endoscopic sinus surgery have made resection of large benign sinonasal and cephalonasal tumours possible 25 26 . A total of 15 cases of sinonasal OF endoscopically treated have been published in the available literature 12 27 - 30 . The advantages of endonasal endoscopic approach include direct visualisation, enhanced visibility and magnification resulting in decreased intraoperative trauma and postoperative morbidity.…”

Evaluation and treatment of isolated maxillary sinus disease

“…Cemento-ossifying fibromas are thought to originate from the periodontal ligament and are composed of different amounts of cementum, bone, and fibrous tissue [35]. Tumour growth over time may result in facial asymmetry and displacement of dental roots.…”

Giant cemento-ossifying fibroma—A case report and review of literature

“…COF belongs to the group of fibro-osseous lesions that are histologically benign tumors of the jaws, and present microscopic features like benign connective tissue matrix and trabeculae of new bone [4]. The biologic behavior of these lesions ranges from indolent to aggressive, and inflammatory to neoplastic.…”