Juvenile psammomatoid ossifying fibroma in paranasal sinus and skull base.

Abstract:

CONCLUSION:The endoscopic transnasal approach with IGS is a safe and effective technique, allowing completely resection of JPOF, with minimal morbidity and recurrence. OBJECTIVES:JPOF is a benign but locally aggressive fibro-osseous lesion. This study presents a series of JPOF cases, involving anterior skull base and orbit, treated by endoscopic transnasal approach with image guidance system (IGS) to resect the mass completely. METHOD:This study retrospectively reviewed the clinical presentations, surgical procedures, and complications of 11 patients with JPOF who were treated by endoscopic approach from May 2009 to April 2014. All patients were followed by endoscopic and CT scan evaluations during follow-up. RESULTS:All of the 11 cases were boys, with a mean age of 11.8 years (range = 6-17 years). The size of mass in the paranasal sinus ranged from 2.5-4.6 cm in greatest dimension (mean = 3.7 cm), and the medial orbital wall and cranial base were involved in all patients. All 11 patients received successful operation and were relieved from symptoms without mortality and major complications. During follow-up (range from 17-67 months; mean follow-up = 25.8 months), only one patient was recurrent in local position. The skull base partial resected during surgery was found to rebuild after 1 year.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Wang M,Zhou B,Cui S,Li Y

doi

10.1080/00016489.2016.1276302

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

743-749

issue

7

eissn

0001-6489

issn

1651-2251

journal_volume

137

pub_type

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