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Related Experiment Video

Updated: Jun 12, 2026

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

Cranial ossifying fibroma causing visual disorder.

Askin Hasturk¹, Kagan Tun, Yahya Guvenc

¹Department of Neurosurgery, Ankara Numune Education and Research Hospital, Ankara, Turkey. aehasturk@yahoo.com

The Journal of Craniofacial Surgery

|May 21, 2010

Summary

Fibrous lesions in the head and maxillofacial region, often benign but locally destructive, present diagnostic and treatment challenges. Early and complete surgical removal is crucial to prevent recurrence and potential sarcomatoid degeneration.

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Area of Science:

Oral and Maxillofacial Surgery
Pathology
Oncology

Background:

Fibrous lesions of the head and maxillofacial region are typically slow-growing benign tumors.
These lesions can exhibit aggressive clinical behavior and high recurrence rates if not completely excised.
Sarcomatoid degeneration is a potential complication in recurrent cases.

Observation:

The study presents a case of a 59-year-old male diagnosed with an ossified fibroma with craniofacial extension.
Fibrous tumors commonly affect the maxilla and mandible, frequently seen in children and young adults.
Diagnosis, classification, and treatment of these fibrous lesions are complex due to their varied presentations.

Findings:

Complete gross removal is essential to minimize high recurrence rates associated with these locally destructive lesions.
Evaluation requires integrating pathological criteria with clinical features and radiological imaging for accurate diagnosis.
Ossified fibroma, a type of fibrous lesion, can present with significant craniofacial extension.

Implications:

Emphasizes the importance of a multidisciplinary approach combining clinical, radiological, and pathological assessments for accurate diagnosis.
Highlights the need for aggressive surgical management to prevent recurrence and associated complications like sarcomatoid change.
Contributes to understanding the complex nature of fibrous lesions in the maxillofacial region, aiding in improved patient outcomes.