Cemento-ossifying fibroma: an extensive fibro-osseous lesion involving paranasal sinuses
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20242722Keywords:
OF, COF, Paranasal sinus, ESS, CTAbstract
Cemento-ossifying fibroma (COF) is a fibro-osseous lesion arising from cells of the periodontal ligament. This tumor typically occurs in individuals during their third and fourth decades of life, with a predilection for women. COF primarily affects the maxillofacial region, most commonly the mandible. Its localization in the paranasal sinuses and skull base is unusual. However, we present a rare case of COF involving the right paranasal areas of the maxillofacial region in an 18-year-old female. Computed tomography (CT) revealed an expansile lesion measuring 52.45×32×74.29 mm involving the right maxillary sinus, expanding into both the anterior and posterior choanae. The patient underwent endoscopic sinus surgery (ESS) with preservation of adjoining vascular structures. Clinical, radiographic, and histologic features are presented, and differential diagnosis is discussed.
References
Krausen AS, Gulmen S, Zografakis G. Cementomas. II. Aggressive cemento-ossifying fibroma of the ethmoid region. Archives of otolaryngology (Chicago, Ill). 1960;103(6):371-3.
Eversole LR, Leider AS, Nelson K. Ossifying fibroma: a clinicopathologic study of sixty-four cases. Oral Surg Oral Med Oral Pathol. 1985;60(5):505-11.
Jurlina M, Skitarelić N, Passali D, Passali FM, Mladina R. Endonasal endoscopic resection of ossifying fibroma involving the ethmoid sinus, orbit and anterior skull base: case report and literature review. Acta Otorhinolaryngol Italica. 2016;36(2):144-8.
Magu S, Airon RK, Mishra DS, Yadav RK, Kakkar V. Images: cemento-ossifying fibroma of the maxilla. Ind J Radiol Imag. 2000;10:103-4.
Walters JD, Will JK, Hatfield RD, Cacchillo DA, Raabe DA. Excision and repair of the peripheral ossifying fibroma: a report of 3 cases. J Periodontal. 2001;72(7):939-44.
Bala TK, Soni S, Dayal P, Ghosh I. Cemento-ossifying fibroma of the mandible. A clinicopathological report. Saudi medical J. 2017;38(5):541-5.
Shklar G. Book Review Histological Typing of Odontogenic Tumours, Jaw Cysts, and Allied Lesions: International Histological Classification of Tumours, Number 5. New Engl J Med. 1972;287(16):829–9.
Jung SL, Choi KH, Park YH, Song HC, Kwon MS. Cemento-ossifying fibroma presenting as a mass of the parapharyngeal and masticator space. Am J Neuroradiol. 1999;20(9):1744-6.
Liu Y, You M, Wang H, Yang Z, Miao J, Shimizutani K, et al. Ossifying fibromas of the jaw bone: 20 cases. Dentomaxillofacial Rad. 2010;39(1):57-63.
Brademann G, Werner JA, Jänig U, Mehdorn HM, Rudert H. Cemento-ossifying of the premastoid region: case report and review of the literature. J Laryngol Otol. 1997;111(2):152-5.
Su L, Weathers DR, Waldron CA. Distinguishing features of focal cemento-ossifying dyplasia and cemento-ossifying fibromas (II). A clinical and radiologic spectrum of 316 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;84(5):540-9.
Bertrand B, Ely P, Cornelius JP, Gosseye S, Clotuche J, Gilliard C. Juvenile aggressive cemento-ossifying fibroma: case report and review of the literature. Laryngoscope. 1994;103(12):1385-90.
Kanna VE, Hariram S, Sharma S, Agrawal A, Gupta R, Chourasia N. Resection of Giant Cemento-Ossifying Fibroma of Jaws by Intraoral Approach-A Case Report and Review. The Traumaxilla. 2022;4(1-3):44-9.
McCollister KB, Hopper BD, Michel MA. Sinonasal neoplasms: Update on classification, imaging features, and management. Appl Radiol. 2015;44(12):7-15.
Baumann I, Zimmermann R, Dammann F, Maassen MM. Ossifying fibroma of the ethmoid involving the orbit and the skull base. Otolaryngol Head Neck Surg. 2005;133(1):158-9.
White SC, Pharoah MJ. Oral radiology: Principles and interpretation. St. Louis (MO): Mosby/Elsevier. 2009.
Sanchis JM, Peñarrocha M, Balaguer JM, Camacho F. Cemento-ossifying mandibular fibroma: a presentation of two cases and review of the literature. Med Oral. 2004;9(1):69-73.
O’Reilly RC, Hirsch BE, Kapadia SB. Ossifying fibroma of the temporal bone. Am J Otolaryngol. 2000;21(2):131-5.
Post G, Kountakis SE. Endoscopic resection of large sinonasal ossifying fibroma. Am J Otolaryngol. 2005;26(1):54-6.
Jurlina M, Skitarelić N, Passali D, Passali FM, Mladina R. Endonasal endoscopic resection of ossifying fibroma involving the ethmoid sinus, orbit and anterior skull base: case report and literature review. Acta Otorhinolaryngol Ital. 2016;36(2):144-8.
