An Alternative Surgical Approach to Cemento-Ossifying Fibroma of the Maxilla

Abstract

Objective: To report an alternative combined gingivobuccal and endoscopic endonasal approach to treating ossifying fibroma of the left maxilla. Methods: Design: Case Report Setting: Tertiary Private University Hospital Patient: A 19-year-old girl with a progressively enlarging left cheek mass for 3 years. Results: Our patient underwent left medial maxillectomy via a combined gingivobuccal and endoscopic endonasal approach with complete resection and significant improvement of symptoms, with good functional outcome. Conclusion: Large ossifying fibromas of the maxilla can be completely and successfully excised via a combined gingivobuccal and endoscopic endonasal approach.

Keywords

• Cemento-ossifying fibroma
• SNOT-22
• Nasal obstruction symptoms test
• Visual analog scale
• Combined approach
• Conservative approach