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Cementifying fibroma presenting as proptosis
S C Sigler1, J L Wobig, E J Dierks
1Department of Ophthalmology, Oregon Health Science University, Portland, USA.
Ophthalmic Plastic and Reconstructive Surgery
|January 16, 1998
Summary
A rare cementifying fibroma, a fibro-osseous tumor, aggressively expanded in a 12-year-old boy. Surgical removal improved vision and facial disfigurement, highlighting the importance of early diagnosis.
Area of Science:
- Oral Pathology
- Head and Neck Surgery
- Oncology
Background:
- Cementifying fibromas are uncommon fibro-osseous neoplasms originating from the periodontal ligament.
- While often asymptomatic, they can exhibit aggressive growth patterns.
Observation:
- A 12-year-old male presented with a large tumor affecting the maxillary, ethmoid, and frontal sinuses.
- The tumor extended into the right orbit, causing proptosis and facial asymmetry.
Findings:
- Histopathological examination confirmed the diagnosis of cementifying fibroma.
- Surgical excision and reconstruction led to significant visual improvement, resolving optic nerve tension and disc edema.
Implications:
- This case underscores the potential for aggressive behavior in cementifying fibromas, even in pediatric patients.
- Timely surgical intervention is crucial for managing orbital and sinonasal fibro-osseous tumors to preserve function and aesthetics.