A Rare Case of Triple - Recurrent Juvenile Trabecular Ossifying Fibroma

Hiren Soni, Dhvani Pankajkumar Trivedi*, Rudra Pankajkumar Trivedi, Mitul Hasmukhbhai Vaghela, Om Bhavesh Desai and Jetun M Patel

Department of Otorhinolaryngology, GMERS Medical College, Vadodara, India

^*Correspondance to: Dhvani Pankajkumar Trivedi 

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Abstract:

Juvenile ossifying fibroma (JOF) is a rare and aggressive benign tumor, most commonly affecting the cranial and facial regions in children and adolescents. It is locally aggressive and has a high recurrence rate if incompletely excised. Based on histology, JOF is divided into juvenile psammomatoid ossifying fibroma (PSOF) and juvenile trabecular ossifying fibroma (JTOF). Complete excision of the tumor is essential to minimize the risk of recurrence. Large lesions result in cosmetic imperfections, which later may require plastic surgery. We report the case of a 14-year-old male with a progressively enlarging left maxillary swelling over two years, causing facial asymmetry and impaired vision in the left eye. Imaging revealed a large,expansile lesion with calcifications, displacing adjacent structures, suggesting juvenile ossifying fibroma. Surgical excision via Caldwell-Luc approach was performed, and histopathological examination confirmed the diagnosis of trabecular JOF. Post-operative recovery was uneventful. This case highlights the importance of early diagnosis and timely surgical intervention to prevent complications and improve patient outcomes.

Keywords:

Trabecular Juvenile Ossifying Fibroma, Recurrence, Facial asymmetry

Cite the Article:

Soni H, Pankajkumar Trivedi D, Pankajkumar Trivedi R, Hasmukhbhai Vaghela M, Bhavesh Desai O, Patel JM. A Rare Case of Triple - Recurrent Juvenile Trabecular Ossifying Fibroma. Ann Clin Case Rep. 2025; 10: 2727..