Management of ossifying fibroma of the bone of the maxilla: a case report and review of the literature

Abstract

Ossifying fibroma (OF) is a slow-growing benign fibro-osseous neoplasm. It is mostly odontogenic in origin, and it arises in the jaws, particularly the mandible. OF is characterized by the production of bone and cementum-like calcifications in a fibrous stroma. OF reports of the bone of the maxilla are uncommon. Diagnosing OF can be challenging due to the considerable overlap of clinico-pathological characteristics with those of other neoplasms. Herein, the authors describe a case report OF in a 26-year-old male who presented with a huge fibro-osseous tumor of the maxilla. Histopathology established the diagnosis of maxillary OF. The tumor was surgically removed via a Weber–erguson approach with satisfactory functional and cosmetic results. No recurrence has been found after one year of follow-up. Clinical, radiological, and pathological characteristics, as well as surgical treatment approaches, are further discussed. This is one of a few documented cases of maxillary OF in our setting.

Exploring Prevalence Trends of Jaw Bone Pathologies: A Three-Year Institutional Study

“…Similar to their results, ossifying fibroma was the most commonly reported fibro-osseous lesion in our study. In a systematic review by Kalmegh et al, it was found that fibrous dysplasia contributes to 2.5% of all bone tumors and 7% of benign bone tumors, stemming from congenital, metabolic, and genetic anomalies [15][16][17]. Another study by Akinyamoju et al aimed to assess the utility of a predictive histologic index in identifying malignant changes in jaw fibro-osseous lesions, utilizing a retrospective analysis of hematoxylin and eosin (H&E) slides and archival records of fibrous dysplasia and ossifying fibroma cases.…”

Abordagens Contemporâneas No Manejo De Patologias Odontogênicas Dos Maxilares

“…A capacidade de realizar simulações virtuais de procedimentos cirúrgicos antes da intervenção real representa um avanço significativo na prática médica, oferecendo aos profissionais uma visão detalhada e tridimensional da anatomia do paciente. Essa abordagem, facilitada pelo uso de software de planejamento assistido por computador, permite um planejamento mais preciso e individualizado (12) .…”

“…Portanto, qualquer lesão odontogênica nessa região pode ter impactos significativos na saúde bucal e na qualidade de vida do paciente (8,9) . (10,11,12) .…”