CLINICAL CASE OF JUVENILE OSSIFYING FIBROMA (JOF) MIMICKING FRONTAL SINUS MUCOCELE

Abstract

Introduction. Differential diagnosis of neoplasms of the paranasal sinuses does not lose its relevance. Benign formations of the nasal cavity and paranasal sinuses at the beginning of their formation have an asymptomatic course, as well as not always specific signs in diagnostic studies. Computed tomography monitoring of the patient’s condition indicates a favorable prognosis for this patient. Aim. TTo present our own clinical observation of the successful diagnosis and treatment of juvenile ossifying fibroma imitating the mucocele of the frontal sinus. Material and Methods. Patient F., 20 years old, complains of swelling of the upper and lower eyelids of the left eye, a pulsation and pain in the left brow area, discomfort in the projection of the left maxillary sinus, difficulty in breathing. Conducted general clinical, laboratory and instrumental research methods. The article details the history of the disease, clinical manifestations, the results of the examination with pathomorphological examination, conservative and surgical treatment with a description of the operation. Results and discussion. The operation was successful. The patient was discharged on the seventh day after surgery with a clinical diagnosis of juvenile ossifying fibroma. The control CT scan of the paranasal sinuses was performed after 6 months, the content in the left frontal sinus was not determined. Conclusion. TThese data are necessary for practitioners when conducting differential diagnosis, because only the data of the intraoperative picture and the histological verification made it possible to make the correct diagnosis.