Juvenile Ossifying Fibroma of Paranasal Sinuses-Do We Need to Be Radical in Surgery?

Juvenile ossifying fibroma (JOF) is an uncommon, benign, bone-forming neoplasm seen in the craniofacial bones. It is distinguished from other fibro-osseous lesions primarily by its age at onset, clinical presentation, and potential aggressive behavior. Occasionally JOF may grow aggressively and extend to involve the orbits and skull base, resulting in serious cosmetic and functional problems. A radical surgery is not advisable in a pediatric age group. We describe a case of JOF of the maxilla removed by sublabial approach conservatively, but completely without compromising the aesthetic looks of the young patient.