Ossifying fibroma of the mid‐face and paranasal sinuses: Diagnostic and therapeutic considerations

Marvel, Jeffrey B.; Marsh, Michael; Catlin, Francis I.

doi:10.1177/019459989110400606

Cited by 62 publications

(32 citation statements)

References 15 publications

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“…The cemento-ossifying fibroma (COF) of the head region affects most often patients between the ages of 20 and 40 years [15]. It is typically found in the mandibulodental region, where it shows a slow-growing behaviour with a low recurrence rate after resection [8].…”

Section: Discussionmentioning

confidence: 99%

Paranasal ossifying fibroma: endoscopic resection or wait and scan?

Ledderose

Stelter

Becker

et al. 2011

Eur Arch Otorhinolaryngol

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The ossifying fibroma is a fibro-osseous lesion that rarely occurs in the paranasal sinuses. Due to its tendency to behave locally aggressively, complete resection is generally recommended. A subdivision into the aggressive juvenile ossifying fibroma (JOF) and the less aggressive cemento-ossifying fibroma of the adult (COF) is clinically reasonable. The objective of the study was to retrospectively analyze the management and follow-up of the patients diagnosed with ossifying fibroma at our ENT-department from 2006 to 2010. A total of five patients were included, thereby comprising one of the largest case series of paranasal ossifying fibromas. In three patients an exclusively endoscopically controlled resection was performed. Two patients with asymptomatic COF declined surgery. Within the 2-year follow-up, no progression was detected. While the JOF should always be surgically treated, for the asymptomatic paranasal ossifying fibroma of the adult (COF) a wait-and-scan strategy, similar to that recommended for osteomas or fibrous dysplasia, could be an option in selected cases.

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Section: Discussionmentioning

confidence: 99%

Paranasal ossifying fibroma: endoscopic resection or wait and scan?

Ledderose

Stelter

Becker

et al. 2011

Eur Arch Otorhinolaryngol

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“…Only 14 cases of benign fibroosseous lesions involving the skull base have been reported. 8,9,11,16,[19][20][21] We describe the second case of aneurysmal bone cyst of the anterior cranial fossa floor.…”

Section: Introductionmentioning

confidence: 94%

Massive Aneurysmal Bone Cyst of the Anterior Cranial Fossa Floor. Case Report.

Nadkarni

Goel

Desai

et al. 2001

Neurol. Med. Chir.(Tokyo)

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A 19-year-old male patient presented with a midline facial, nose, and forehead hard and bony swelling associated with hypertelorism. Neuroimaging revealed a massive tumor involving the anterior cranial fossa floor, which had occupied and enlarged all paranasal air sinuses, and displaced the orbits outwards and the frontal lobes of the brain superiorly. A basal transcranial route was used for radical resection of the massive and vascular tumor. Histological examination confirmed an aneurysmal bone cyst. Such tumors only rarely involve the cranial bones or paranasal air sinuses.

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“…Most of these affect the mandible. Their behavior in the mid-face and paranasal sinuses is more aggressive than their mandibular counterparts [12]. However, in ossifying fibroma, fibrous tissue predominates with a minor component of mature (lamellar) bone rimmed by active osteoblasts and psammoma-type mineralizations scattered throughout [13], quite unlike the solid laminated bone in the present case (Fig.…”

Section: Discussionmentioning

confidence: 54%

Frontal Sinus Osteoma with Osteoblastoma-like Histology and Associated Intracranial Pneumatocele

Lehmer¹,

Kissel²,

Ragsdale³

2012

Head and Neck Pathol

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Osteomas of the cranial sinuses are rare, benign bony tumors that can be complicated by the formation of an intracranial pneumatocele. If not treated promptly, a pneumatocele can lead to abscess formation, meningitis, or ventriculitis. In the present case, an intracerebral pneumatocele was formed when an 18 cm 3 osteoma breached the posterior wall of the frontal sinus creating a one-way valve through which air could enter the intracranial cavity. The patient presented after forceful sneezing with nonspecific symptoms of headache, nausea, and vomiting. CT demonstrated a frontal collection of loculated air with mass effect within the left cerebral hemisphere. A partly mineralized mass occupied the left superior nasal ethmoid sinus and left frontal sinus. Of interest pathologically in this case, the tumor had a substantial osteoblastoma-like component. Surgical repair involved frontal craniotomy to remove the osteoma and debride frontal sinus mucosa, plugging the frontal nasal ducts and sinus with fat and bone wax, and dural restoration using an underwater closed drainage system to vent intracranial air and stabilize the patient.

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Ossifying fibroma of the mid‐face and paranasal sinuses: Diagnostic and therapeutic considerations

Cited by 62 publications

References 15 publications

Paranasal ossifying fibroma: endoscopic resection or wait and scan?

Paranasal ossifying fibroma: endoscopic resection or wait and scan?

Massive Aneurysmal Bone Cyst of the Anterior Cranial Fossa Floor. Case Report.

Frontal Sinus Osteoma with Osteoblastoma-like Histology and Associated Intracranial Pneumatocele

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