Paranasal ossifying fibroma: endoscopic resection or wait and scan?

The ossifying fibroma is a fibro-osseous lesion that rarely occurs in the paranasal sinuses. Due to its tendency to behave locally aggressively, complete resection is generally recommended. A subdivision into the aggressive juvenile ossifying fibroma (JOF) and the less aggressive cemento-ossifying f...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2011-07, Vol.268 (7), p.999-1004
Main Authors: Ledderose, Georg J., Stelter, Klaus, Becker, Sven, Leunig, Andreas
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Endoscopy
Female
Fibroma, Ossifying - pathology
Fibroma, Ossifying - surgery
Follow-Up Studies
Head and Neck Surgery
Humans
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Otorhinolaryngology. Stomatology
Paranasal Sinus Neoplasms - pathology
Paranasal Sinus Neoplasms - surgery
Patient Selection
Retrospective Studies
Rhinology
Treatment Outcome
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Summary:The ossifying fibroma is a fibro-osseous lesion that rarely occurs in the paranasal sinuses. Due to its tendency to behave locally aggressively, complete resection is generally recommended. A subdivision into the aggressive juvenile ossifying fibroma (JOF) and the less aggressive cemento-ossifying fibroma of the adult (COF) is clinically reasonable. The objective of the study was to retrospectively analyze the management and follow-up of the patients diagnosed with ossifying fibroma at our ENT-department from 2006 to 2010. A total of five patients were included, thereby comprising one of the largest case series of paranasal ossifying fibromas. In three patients an exclusively endoscopically controlled resection was performed. Two patients with asymptomatic COF declined surgery. Within the 2-year follow-up, no progression was detected. While the JOF should always be surgically treated, for the asymptomatic paranasal ossifying fibroma of the adult (COF) a wait-and-scan strategy, similar to that recommended for osteomas or fibrous dysplasia, could be an option in selected cases.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-011-1503-4