پديد آورندگان :
Badri، Amirali نويسنده Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Shirafkan، Saeed نويسنده Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Razavi، Mahshid نويسنده Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran , , Moghadam، Saedeh Atarbashi نويسنده 3Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran ,
چكيده فارسي :
Introduction: Juvenile ossifying fibroma is a benign, bone-forming neoplasm with aggressive local growth that is distinguished from
other fibro-osseous lesions primarily by its age of onset, clinical presentation and aggressive behavior. Although a benign entity, juvenile
ossifying fibroma is known to be locally aggressive and has a high tendency to recur. Two distinctive microscopic patterns have been
described: a trabecular variant and a psammomatoid variant. This latter variant is predominantly a craniofacial lesion and occurs rarely in
the jaws. Treatment plans include a range of enucleation to total resection. Case Presentation: Reported here is a case of a huge psammomatoid juvenile ossifying fibroma of the maxilla in a 19-year-old man. Right
maxillectomy was done while brain exposure in sphenoid and ethmoidal region was covered with fat and bone graft. After 1 year follow up,
an endosseous dental implant was inserted in right lateral pterygoid plate. Conclusions: Six months later an obturator was made over that osseointegrated implant to reconstruct the anatomic defect, achieving
functional rehabilitation and satisfactory facial appearance.
