Management of Giant Maxillary Cemento-ossifying Fibroma Invading the Orbital Cavity by Resection and Immediate Reconstruction Using Sagittal Coronoid - Ramus Graft: A Case Report and Literature Review

Mazen Almasri^1, and Ebtesam Aljerb²

¹Oral Maxillofacial Surgery department, Umm Alqura University, Makka city

²Saudi Board of Oral and Maxillofacial Surgery Program, Jeddah city, Saudi Arabia

Cite this paper:
Mazen Almasri and Ebtesam Aljerb. Management of Giant Maxillary Cemento-ossifying Fibroma Invading the Orbital Cavity by Resection and Immediate Reconstruction Using Sagittal Coronoid - Ramus Graft: A Case Report and Literature Review. Oral Surgery, Oral Medicine, Oral Radiology. 2015; 3(1):9-14. doi: 10.12691/oral-3-1-3

Abstract

A case of giant cemento-ossifying fibroma (COF) that is invading the maxilla, maxillary sinus, nasal nostril, inferior orbital floor (IOF) and inferior orbital rim (IOR) was resected along with total hemimaxillectomy and reconstructed immediately using mandible coronoid-ramus graft to the orbital rim, metal mesh to the floor, and an immediate maxillopalatalobturator to maintain the midfacial contour, cosmetics, speech, and function. The surgical and reconstructive technical details are discussed.

Keywords:
ossifying fibroma fibro-osseous lesion maxilla ramus graft giant reconstruction

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