Abstract

The metaphysis of children's long bones are where non-ossifying fibromas, also known as NOFs, are most frequently found to be benign, non-neoplastic lesions. Objective is to confirm a diagnosis through investigation into the radiographic, clinical, and histologic characteristics of nonossifying fibroma of the maxilla. Method: A 14-year-old male, has been experiencing swelling in his left cheek for the past eight years, and he sought treatment at the government ENT hospital in Vishakhapatnam . It was characterised by a slow, steady progression in the absence of precipitating, ameliorating, or associative influences. Result: Nasal obstruction, pain, bleeding, impaired eyesight, breathing or swallowing complaints, loss of smell, numbness, appetite loss, or weight loss have not been reported. No significant medical history. No family history of such complaints; no interracial or consanginous marriages among parents. Oriented, afebrile, CVS-S1, S2+; per abdomen soft, no organomegaly; RS has normal vesicular breath sounds; No pedal edema or generalized lymphadenopathy was found. Conclusion: The NOF is always eccentric and ovoid, thinning and expanding the underlying cortex radiographically. Periosteal reaction and cortical violation are rare. Histologically, the NOF has spindle-celled fibrous tissue in a storiform pattern, a variable amount of multinucleated large cells, hemosiderin pigment in fibroblasts, and lipid-laden histiocytes (Xanthoma cells). The lack of adult NOF reports suggests that most lesions spontaneously recover. Recurrence in gnathic bone NOF cases is rare after curettage or resection.

Description

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