Juvenile ossifying fibroma of the maxilla: case report

Abstract

Introduction: Fibro-osseous lesions constitute a group of lesions characterized by processes of replacement of normal bone by fibrous tissue containing mineralized material. Juvenile Ossifying Fibroma is a benign fibro-osseous neoplasm that affects young individuals, local aggressive behavior, with high rates of relapse. Two variants named trabecular juvenile ossifying fibroma (TJOF) and psamomatoid juvenile ossifying fibroma (PJOF) are reported. Although both patterns demonstrate similar characteristics, the predilection for age and the sites of involvement are specific. The indicated treatment varies from enucleation and curettage to surgical resection. This article aims to report a case of a patient with juvenile ossifying fibroma in maxilla. Case report: J.S.B., 18 years old, male, sought the Surgery and Traumatology Service of Hospital Getúlio Vargas, Recife/PE, complaining of a “lump in the face” with approximately 5 years of evolution in right maxila. Patient underwent conservative surgical treatment was performed through enucleation, curettage and peripheral osteotomy and has been followed for about 10 months without recurrence. Final considerations: The most conservative treatment chosen was considered successful, effective, with minimal morbidity. However, because the injury is considered aggressive and because it has a high rate of recurrence, a long follow-up period is required.