A Rare Case of Massive Juvenile Ossifying Fibroma Requiring Total Maxillectomy and Craniofacial Reconstruction

Abstract

Trabecular juvenile ossifying fibromas (JTOFs) are uncommon aggressive benign neoplasms frequently involving the maxilla. Reports of JTOFs involving the entire maxilla in children 5 years or younger are exceptionally rare. Although various treatment options for maxillary reconstruction exist, there is no consensus on best practices following JOF resection. In this case study, we present a young girl with an extensive JTOF managed with a single-stage total maxillectomy and reconstruction utilizing split calvarial bone grafting and bilateral temporalis muscle flaps.