Management of juvenile ossifying fibroma: insights from three cases and a review of literature

Sahil Sharma; Raman Wadhera; Bhavesh Kumar; Anshika Anand; Nishant Saini; Archana Kush; Preeti Rani

doi:10.18203/issn.2454-5929.ijohns20252251

Authors

Sahil Sharma Department of Otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
Raman Wadhera Department of Otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
Bhavesh Kumar Department of Otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
Anshika Anand Department of Otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
Nishant Saini Department of Otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
Archana Kush Department of Otorhinolaryngology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India
Preeti Rani Department of Pathology, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20252251

Keywords:

Juvenile ossifying fibroma, Fibrous dysplasia

Abstract

Juvenile ossifying fibroma (JOF) is a rare, benign fibro-osseous neoplasm exhibiting locally aggressive behaviour predominantly localized within the craniofacial bones. This distinct entity is distinguished from ossifying fibroma (OF) by its earlier age of onset and an increased propensity for recurrence. A comprehensive review of existing literature, supplemented by a case series, is presented to elucidate the clinical, radiological, and histopathological characteristics of JOF. Diagnostic challenges associated with JOF are often encountered due to its variable presentation and potential overlap with other fibro-osseous lesions. Treatment is by surgical resection, with a focus on obtaining total excision to reduce the chance of recurrence. Long-term follow-up is crucial for early detection of recurrence. This combined literature review and case series presentation aims to improve knowledge of JOF, enabling more accurate diagnosis and effective therapy.

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