Juvenile ossifying fibroma of the maxilla

Abstract EN

Introduction : Juvenile ossifying fibroma is a rare benign fibro-osseous lesion.

It is characterized by the early age of onset, the localization of the tumor, the radiological pattern and a tendency to recurrence.

In the light of a clinical case, we review the clinical, histological and radiological features of this tumor.

Case report : We report a case of a nine year old male child who presented with a unilateral swelling of the right middle face with right proptosis.

Clinical examination showed a mass filling the right nasal cavity.

CT scan and MRI were performed.

Biopsy suggests a fibro-osseous lesion.

The patient undertook surgery by a degloving approach with complete tumor removal.

The histopathological examination revealed the diagnosis of a juvenile ossifying fibroma.

No recurrence was noted.

Conclusion : Because of its aggressive and compressive nature, juvenile ossifying fibroma requires an early complete surgical excision.

A long-term clinical and radiological surveillance is necessary to prevent recurrence