Juvenile ossifying fibroma of the maxilla

Juvenile ossifying fibroma is a rare benign fibro-osseous lesion. It is characterized by the early age of onset, the localization of the tumor, the radiological pattern and a tendency to recurrence.In the light of a clinical case, we review the clinical, histological and radiological features of this tumor.Case reportWe report a case of a nine year old male child who presented with a unilateral swelling of the right middle face with right proptosis. Clinical examination showed a mass filling the right nasal cavity. CT scan and MRI were performed. Biopsy suggests a fibro-osseous lesion. The patient undertook surgery by a degloving approach with complete tumor removal. The histopathological examination revealed the diagnosis of a juvenile ossifying fibroma. No recurrence was noted.ConclusionBecause of its aggressive and compressive nature, juvenile ossifying fibroma requires an early complete surgical excision. A long-term clinical and radiological surveillance is necessary to prevent recurrence