ENT Medical News about sinonasal juvenile psammomatoid ossifying fibroma; transcranial resection

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Transcranial resection of a large sinonasal juvenile psammomatoid ossifying fibroma
Child's Nervous System, 03/27/09

Noudel R et al. - The authors report the case of a 12-year-old boy with a JPOF arising from the right paranasal sinuses and extension towards the anterior skull base and the orbit. Despite the tumor had eroded through nasal septum, medial orbit wall, and right maxilla, it could be entirely removed performing an extended frontobasal approach via a bifrontoorbital craniotomy, obviating the need for a transfacial approach. Radiologically and histologically, the lesion could be mistaken either for a meningioma or another type of ossifying fibroma. Histological aspects and alternative surgical approaches to these rare entities are discussed.

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