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Nonossifying fibroma (metaphyseal fibrous defect) of the mandible in a 15-year-old boy

June 5, 2015  |  Abul Ala Syed Rifat Mannan, MD; N. Gopendro Singh, MD; Salah Al-Waheeb, MBBCh, FRCPC, FRCPath; Taher N.M. Taher, MBBCh, BDS, MOMS; Emad El Din A.M. Mohammed, BDS, MSc, PhD


We describe a rare case of nonossifying fibroma of the mandible in a 15-year-old boy who presented with a left mandibular swelling. Conventional imaging showed an expansile radiolucent lesion involving the angle and the body of the left mandible. The lesion was curetted, and a...

Juvenile nasopharyngeal angiofibroma staging: An overview

June 5, 2015  |  Nada Ali Alshaikh, MD; Anna Eleftheriadou, MD, PhD


Staging of tumors is very important in treatment and surgical decision making, as well as in predicting disease recurrence and prognosis. This review focuses on the different available classifications of juvenile nasopharyngeal angiofibroma (JNA) and their impact on the...

Solitary myofibroma of the oropharynx causing airway obstruction in an adult

September 18, 2014  |  Harrison W. Lin, MD; David Jung, MD, PhD; Linda N. Lee, MD; Peter M. Sadow, MD, PhD; James W. Rocco, MD, PhD


Myofibromas are benign neoplasms believed to be the most common fibrous proliferation of childhood. We present an unusual case of a 44-year-old woman who developed acute airway obstruction from a myofibroma in the oropharynx and accordingly required emergent tracheotomy tube...

Extranasopharyngeal angiofibroma originating in the inferior turbinate

September 19, 2013  |  Jae Hoon Lee, MD; Ha Min Jeong, MD

An extranasopharyngeal angiofibroma should be differentiated from other vascular tumors, particularly a hemangioma.

Management of pterygoid venous plexus hemorrhage during resection of a large juvenile nasopharyngeal angiofibroma: A review of 27 cases

April 18, 2013  |  Lin Chang, MD; Yi Zixiang, MD; Fang Zheming, MD; Lin Gongbiao, MD; Li Zhichun, MD; Zhang Rong, MD; Zhou Aidong, MD; Lan Shuzhan, MD


We retrospectively reviewed the cases of 27 patients who experienced intraoperative bleeding during resection of a large (Fisch type III or IV) juvenile nasopharyngeal angiofibroma (JNA). Of this group, 16 patients had a type III JNA and 11 had a type IV tumor. The degree of...

Chondromyxoid fibroma of the mastoid portion of the temporal bone: MRI and PET/CT findings and their correlation with histology

April 18, 2013  |  Noeun Oh, MD; Azita S. Khorsandi, MD; Sophie Scherl, BA; Beverly Wang, MD; Bruce M. Wenig, MD; Spiros Manolidis, MD; Adam Jacobson, MD


We report a very rare case of a chondromyxoid fibroma of the mastoid portion of the temporal bone in a 38-year-old woman who presented with left-sided hearing loss. Magnetic resonance imaging identified an expansile mass in the left mastoid bone with a heterogeneous...

Endoscopic Coblation for the treatment of advanced juvenile nasopharyngeal angiofibroma

October 4, 2012  |  Brandon Pierson, MD; Rosser Powitzky, MD; G. Paul Digoy, MD, FAAP


We present 2 cases of advanced juvenile nasopharyngeal angiofibroma (JNA) to illustrate the advantages of endoscopic Coblation-assisted resection of intranasal extensions of these masses. Both patients—an 11-year-old boy and a 14-year-old boy—presented with...

Myofibroma of the zygomatic bone in an older child: A case report

July 14, 2011  |  Engin Acıoğlu, MD, Gül Özbilen Acar, MD, Yalçın Alimoğlu, MD, Harun Cansız, MD, and Sergülen Dervişoğlu, MD


Myofibroma/myofibromatosis is a rare mesenchymal disorder that is part of a heterogeneous group of approximately 20 disorders that are classified primarily according to the proliferation of benign fibrous elements. These lesions can arise during a wide range of ages, with many...

Odontogenic fibroma

May 1, 2010  |  Monica Hollowell, MD, David Gang, MD, and Liron Pantanowitz, MD

Successful elective surgery in a patient with a positive preoperative cocaine toxicology screen

February 1, 2010  |  Robert L. Witt, MD and Patrick Wilson, MD


A positive result on preoperative cocaine toxicology screening has traditionally been a contraindication to immediate nonemergency surgery. We describe a case of major but not emergency head and neck surgery on a patient with a massive ossifying fibroma whose preoperative...

Extranasopharyngeal angiofibroma of the nasal septum: A case report

November 1, 2009  |  Satyawati Mohindra, MS, DNB, Gogia Grover, MS, and Amanjit Kaur Bal, MD, DNB


Angiofibroma arising outside the nasopharynx is unusual. The nasal septum is an extremely rare site for the origin of angiofibroma, and to date only 6 such cases previously have been reported in the literature. We report here a case of a 22-year-old man with a vascular mass...

Aggressive fibromatosis of the oropharynx: A multidisciplinary approach to a benign disease

May 1, 2009  |  Eleftheria Kiverniti, MRCSEd, DO-HNS, Ulkem Cilasun, DDS, PhD, Arvind Singh, BSc, MRCS, DLO, Rehan Kazi, MS, Peter M. Clarke, BSc, FRCS, and Daniel J. Archer, FDSRCS, FRCS


We present the case of a 23-year-old woman with aggressive fibromatosis of the oropharynx that was initially treated elsewhere as a peritonsillar abscess. We discuss the characteristics of this rare tumor and review the literature, stressing the importance of postoperative...


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