Ossifying fibromas of the paranasal sinuses: diagnosis and management

Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale
M Ciniglio AppianiP Herman

Abstract

Fibro-osseous benign lesions rarely affect the sinonasal tract and are divided into 3 different entities, namely osteoma, fibrous dysplasia and ossifying fibroma. They share several clinical, radiological and histological similarities, but have different behaviours. Ossifying fibroma, and in particular the "juvenile" histological subtype, may have a locally aggressive evolution and a high risk for recurrence if removal is incomplete. The purpose of the present study is to compare the clinical behaviour of ossifying fibroma with the other benign fibro-osseous lesions; highlight different behaviour between the histological subtypes; compare the advantages, limitations and outcomes of an endoscopic endonasal approach with reports in the literature. We retrospectively reviewed 11 patients treated for sinonasal ossifying fibroma at a tertiary care centre. All patients underwent CT scan, and MRI was performed in cases of cranial base involvement or recurrence. Pre-operative biopsy was performed in cases where it was possible to use an endoscopic approach. One patient underwent pre-operative embolisation with ipsilateral visual loss after the procedure. Depending on its location, removal of the tumour was performed using an endoscopic...Continue Reading

Citations

Feb 14, 2019·Oral and Maxillofacial Surgery·Levy Hermes RauElena Riet Correa Rivero
Jan 31, 2021·Animals : an Open Access Journal From MDPI·Bernard TurekRafał Sapierzyński
Jan 6, 2021·Veterinary Surgery : VS·Bridget F NottleScott A Katzman
Jan 7, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Sarah Bin AbdulqaderGmaan Alzhrani
Aug 24, 2020·Current Problems in Diagnostic Radiology·Naren Hemachandran, Sanjay Sharma
Jul 20, 2021·Journal of Surgical Case Reports·Sofia El AkroudMiloudi Gazzaz
Oct 28, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Bruno CunhaCarla Conceição

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Methods Mentioned

BETA
biopsy
dissection
surgical resection
total resection

Software Mentioned

Tachosil

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