An unusual case of ossifying fibroma in the anterior maxilla: a case report

Abstract

Ossifying fibroma is a benign bone tumor, its origin in head and neck region, is supposed to be from periodontal membrane. Large Ossifying fibroma occurring in the maxilla might have different radiographic appearances which might direct to incorrect diagnosis and treatment. Here we report a 22year old male patient with a chief complaint of swelling in the upper anterior maxilla. The patient has been conscious of the swelling since 5years. It was slow in onset, enlarged over theyears to the present size and was not associated with the history of any tooth ache or trauma in that region of the jaw. Clinical/extra oral examination revealed a giant swelling on the right side of the face, especially in the anterior jaw, leading to gross facial asymmetry. Correlating the clinical, histopathological and radiological findings, a concluding identification of ossifying fibroma was given. Treatment done was complete resection i.e. maxillectomy and reconstruction of maxilla with a reconstruction plate under general anesthesia.