Juvenile Ossifying Fibroma: Successful Endoscopic Gross Total Resection of a Rare Sinonasal Tumor in an Adolescent Male

Juvenile Ossifying Fibroma: Successful Endoscopic Gross Total Resection of a Rare Sinonasal Tumor in an Adolescent Male

Kaelan Black, Iman Naseri, Philipp Aldana, Jeffrey Goldstein and Gary D. Josephson*

Abstract: Juvenile ossifying fibroma is a rare tumor of the sinonasal cavity in pediatric patients. Large tumors involving the orbit and cranial fossa have traditionally been resected using an open craniofacial approach, with an open transcranial and endonasal endoscopic approach for smaller tumors. We describe a case in which visualization with straight and angled telescopes and endoscopic instrumentation allowed high confidence resulting in a gross total resection of this very large tumor. We believe this approach by an experienced endoscopist can offer equal success in treatment outcome with lower morbidity and quicker recovery than the traditional open procedures for this tumor.