title: Surgical management of two complex cases of large juvenile orbital ossifying fibroma.
abstract: Ossifying fibroma is a rare benign tumour of the craniofacial skeleton, which can have an aggressive biological behaviour in the paediatric population. Complete surgical excision, where possible, is the ideal. This case report discusses the multidisciplinary, surgical management of two complex cases of large juvenile ossifying fibroma (JOF), involving the orbit. Both patients underwent resection of the orbital ossifying fibroma with no macroscopic evidence of recurrence at 4 years follow-up. Full functional outcome was achieved with preservation of vision and facial nerve function as well as good facial symmetry and aesthetics. The successful surgical outcome of these cases was due to a combination of a multidisciplinary team approach, rigorous pre-operative planning, maximal tumour resection, and the use of a novel surgical technique involving a medial zygomatic-orbito-maxillary rotational osteotomy.
authors: Craniofacial Orbito Palpebral Service, Chelsea & Westminster Hospital, 369 Fulham Road, London, United Kingdom. Nadine.haram@gmail.com
authors: Nadine
authors: N
authors: Hachach-Haram
authors: Sarah
authors: S
authors: Benyon
authors: Sarah
authors: S
authors: Maling
authors: Naresh
authors: N
authors: Joshi
authors: William E
authors: WE
authors: Grant
authors: W Niall A
authors: WN
authors: Kirkpatrick
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D018214:Fibroma, Ossifying / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008443:Maxillary Sinus / Q000473:pathology; D009364:Neoplasm Recurrence, Local; D009918:Orbital Neoplasms / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010348:Patient Care Team