NUMERO: #20240623

Título: PROPOSAL FOR SURGICAL TREATMENT OF JUVENILE OSSIFYING FIBROMAS OF THE MAXILLA INVOLVING THE ORBITAL FLOOR: CASE SERIES

Nome do Apresentador: Italo Oliveira BARBOSA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: Juvenile ossifying fibroma (JOF) is a rapidly growing benign fibro-osseous neoplasm. Histopathologically, JOF can be classified into trabecular and psammomatoid subtypes. The gold standard treatment for JOF is radical resection with safe margins, which causes facial defects that require reconstruction to re-establish aesthetics and function. Our study presented a series of five JOFs treated with conservative resection and orbital reconstruction with iliac crest bone graft. After the surgical approach, maintenance of the vertical and horizontal position of the eyeball was observed, with no severe development of enophthalmos, diplopia, or ophthalmoplegia. Facial symmetry, mouth opening, nasal perfusion, and visual acuity were considered satisfactory. The patients have been followed up for a minimum of one year and a maximum of twenty-five years, with no signs of recurrence. Therefore, this study showed that the iliac crest graft is a satisfactory option for maxillo-orbital reconstruction after FOJ removal.

Autor 1:  Italo Oliveira BARBOSA

E-mail 1:  [email protected]

Autor 2:   André Silva GOIS

E-mail 2:  [email protected]

Autor 3 :  Flavio Wellington da Silva FERRAZ

E-mail 3:  [email protected]

Autor 4:  Jan Peter ILG

E-mail 4:  [email protected]

Autor 5:  Gustavo Grothe MACHADO

E-mail 5:  [email protected]

Autor 6:  André Caroli ROCHA

E-mail 6:  [email protected]