Juvenile trabecular ossifying fibroma of the inferior turbinate

BMJ Case Rep. 2024 Apr 16;17(4):e259397. doi: 10.1136/bcr-2023-259397.

Abstract

Nasal obstruction is a commonly reported issue in the Otorhinolaryngology Outpatient Department. In this case, an early adolescent boy with a long-standing problem of right-sided nasal obstruction since childhood sought consultation. Diagnostic nasal endoscopy revealed a deviation of the nasal septum to the left, coupled with right inferior turbinate hypertrophy, all overlying healthy mucosa. A CT scan of the nose and paranasal sinuses further identified a bony hyperdense lesion with ground glass attenuation, confined to the right inferior turbinate. Subsequent biopsy confirmed juvenile trabecular ossifying fibroma (JTOF). The patient underwent endoscopic right medial maxillectomy, and the final histology affirmed the diagnosis of JTOF.

Keywords: Ear, nose and throat/otolaryngology; Head and neck cancer; Pathology.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Neoplasms* / pathology
  • Cartilage Diseases* / pathology
  • Child
  • Fibroma, Ossifying* / diagnostic imaging
  • Fibroma, Ossifying* / surgery
  • Humans
  • Male
  • Nasal Obstruction* / diagnostic imaging
  • Nasal Obstruction* / etiology
  • Nasal Obstruction* / pathology
  • Paranasal Sinuses*
  • Turbinates / diagnostic imaging
  • Turbinates / pathology
  • Turbinates / surgery