Aggressive ossifying fibroma of right ethmoidal sinus: A case report

Alghonaim, Yazeed; ALHumaid, Salwa ALRashed; Arafat, Abdullah

doi:10.1016/j.ijscr.2017.12.026

Cited by 10 publications

(18 citation statements)

References 7 publications

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“…Most of OF patients are treated with the complaint of craniofacial malformation. OF mainly involves maxilla, 16 and its common symptoms include painless facial swelling, deformity, and proptosis. Therefore, most OF can be treated in the early stage.…”

Section: Discussionmentioning

confidence: 99%

Fibro‐osseous Lesions of Paranasal Sinus and Craniofacial Region: A Retrospective Study of 282 Cases

Dong

Wang

et al. 2020

The Laryngoscope

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Objectives To compare the clinical characteristics of osteoma, ossifying fibroma (OF) and fibrous dysplasia (FD) in the paranasal sinus and craniofacial regions. Methods Totally 282 patients (112 males, 170 females) with osteoma (161), OF (44), and FD (77) involving the paranasal sinus, skull base and orbit treated surgically from January 2012 to August 2018 were analyzed retrospectively. Results For osteoma, OF and FD, the onset ages were 40.3 (6–75), 24.5 (5–62), and 15 (1–63) years, and the most common locations were ethmoid sinus (49.7%), maxilla (36.4%) and maxilla (49.4%), respectively. There were significant differences of the preoperative serum alkaline phosphatase (ALP) levels between patients with osteoma (65 [25,184] U/L), OF (85.5 [41,474] U/L), and FD (104 [39,362] U/L) (Z = 44.9, P < .05). The ALP levels of OF and FD patients were comparable between monostotic and polyostotic lesions (P > .05). The recurrent rates of osteoma, OF, and FD were 0%, 13.6%, and 15.6%, respectively. The recurrent OF cases had significantly higher ALP level than the primary ones (283.5 [108,474] U/L vs. 76 [41,348] U/L, U = 14, P < .05). Conclusion There are differences in the onset age, location, and recurrence rate among osteoma, OF and FD involving the paranasal sinus and craniofacial region. Osteoma most commonly occurs in the ethmoid sinus, while OF and FD involve the maxilla most and are more likely to involve the orbit and the skull base, respectively. Endoscopic surgery is currently the main method for treatment, but individualized treatment regimen should be developed for patients. Level of Evidence IV Laryngoscope, 131:E1–E7, 2021

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Section: Discussionmentioning

confidence: 99%

Fibro‐osseous Lesions of Paranasal Sinus and Craniofacial Region: A Retrospective Study of 282 Cases

Dong

Wang

et al. 2020

The Laryngoscope

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“…Other approaches such as craniofacial (craniotomy, transfacial or transoral) ones could also be done. 8 In our case, the lesion was operated by multidisciplinary approach, craniotomy for resection of cranioorbital portion of the tumor combined with endoscopic approach transnasally by the ENT team for removal of nasal and ethmoidal part of the tumor and skull base reconstruction. Postoperative management must include repeated endoscopic examination and imaging specially in partially excised cases to detect recurrence and prevent long term morbidity.…”

Section: Discussionmentioning

confidence: 93%

Juvenile variant ossifying fibroma of sinonasal region

et al. 2020

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Juvenile variant ossifying fibroma of sinonasal region is an extremely rare benign fibro-osseous lesion which is locally aggressive. A 21-year-old male presented with significant proptosis of right eye with stony-hard lump in the middle upper aspect of the right orbit and base of the nose. CT scan of head revealed a non-enhancing expansile lesion in right ethmoidal cells consistent with chronic ethmoidal mucocele. However Magnetic Resonance Imaging of brain revealed enhancing lesion in right ethmoid and frontal sinus extending up to anterior cranial fossa. He underwent right frontal craniotomy with surgical excision of tumor wherein cystic brown tumor of frontal and ethmoidal sinus was found. The procedure was supplemented with endoscopic transnasal approach. Histopathology report suggested an ossifying fibroma. This case highlights the importance of clinical, imaging and histopathological features of ossifying fibroma occurring in the sinonasal tract for better diagnosis and treatment through a multidisciplinary approach.

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“…It is associated with secreting carcinoma in 10-15% of cases and has a high risk of recurrence. 36,37 Imaging. On CT, cemento-ossifying fibroma shows a well-defined encapsulated expansile mass with an intact bony cortex and is continuous with the adjacent cortex.…”

Section: Cemento-ossifying Fibromamentioning

confidence: 99%

“…Cemento-ossifying fibroma commonly has a ground-glass appearance, but large lesions have a heterogeneous appearance (Figure 6). [36][37][38][39][40] The trabecular or psammomatoid variant of juvenile ossifying fibroma is less common than cementoossifying fibroma. Juvenile trabecular ossifying fibroma reported in adolescents (aged 9-12 years) is commonly found in the maxilla.…”

Section: Cemento-ossifying Fibromamentioning

confidence: 99%

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Bone-related disorders of the jaw: A clinico-radiological diagnostic algorithm

Razek

2021

Neuroradiol J

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Bone-related disorders of the jaw (BRDJ) include a spectrum of non-neoplastic and neoplastic lesions of the maxillofacial region that have been recently classified into fibro-osseous lesions, giant cell lesions and osseous tumours. The histopathological features of BRDJ can be similar and overlie each other. Imaging is important in order to reach a specific diagnosis. However, the appearance of BRDJ on imaging is non-specific in some cases. Computed tomography (CT) and magnetic resonance imaging (MRI) are used for accurate localisation, characterisation of the tumour matrix, delineation of the lesion extension and establishment of the relation of BRDJ to the surrounding structures. Imaging is usually done to detect the relationship with the adjacent surrounding vital structures and to diagnose aggressive forms, malignant transformation and associated syndromes. The correlation of the demographic findings, the location and the clinical presentations with the imaging features are important for the diagnosis of BRDJ. The proposed clinico-radiological diagnostic algorithm with CT and MRI helps a specific diagnosis to be reached in some cases.

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Aggressive ossifying fibroma of right ethmoidal sinus: A case report

Abstract: Ossifying fibroma is a rare lesion found in the head and neck area and it is unusual to be found in the paranasal sinuses. Thus crucial attention to the clinical, radiographical and histopathological examination should be taken for more accurate diagnosis and thus appropriate management.

Cited by 10 publications

References 7 publications

Fibro‐osseous Lesions of Paranasal Sinus and Craniofacial Region: A Retrospective Study of 282 Cases

Fibro‐osseous Lesions of Paranasal Sinus and Craniofacial Region: A Retrospective Study of 282 Cases

Juvenile variant ossifying fibroma of sinonasal region

Bone-related disorders of the jaw: A clinico-radiological diagnostic algorithm

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