Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered

Ossifying fibroma: report on a clinical case, with the imaging and histopathological diagnosis made and treatment administered

Revista Brasileira de Ortopedia, December 2015

26962494

Daniel Trivelato da Silveira, Fábio Oliveira Cardoso, Brisa Janine Alves e Silva, Cláudia Assunção e Alves Cardoso, Flávio Ricardo Manzi

The aim was to report on a case of ossifying fibroma, consisting of a benign fibro-osseous lesion characterized by slow growth and proliferation of fibrous cellular tissue, bone, cement or a combination. A 29-year-old male patient was attended at a hospital, after he had suffered a car accident. During the clinical examination, increased volume in the region of the right side of the mandible was observed, and a fracture in the middle third of the face was suspected. The tomographic examination showed an image suggestive of fracturing of the left-side zygomatic complex, without displacement, and with a well-delimited radiopaque image of the mandible. The patient was sent to a hospital where panoramic radiography, posteroanterior radiography of the face and teleradiography were performed in order to better document the case. An incisional biopsy was performed. Histopathological examination showed the presence of a benign bone lesion suggestive of ossifying fibroma. Surgery was performed in order to completely remove the lesion, with fixation using a reconstruction plate. A new anatomopathological examination confirmed the diagnosis.