Surgical treatment in a patient with ossifying fibroma in the left nostril

Abstract

Case presentation. A 43-year-old female patient, with an 8-month history of presenting with a tumor on the nasal dorsum, which has been progressively increasing in size, presenting left rhinorrhea, and pain in the nasal dorsum region. Asymmetry is observed in the nasal dorsum, with a tumor in the left external nasal region measuring 2 x 2 cm, hard. In the computed tomography of the paranasal sinuses, a tumor is noted that affects the bone wall of the nasal fossa and the anterior and medial wall of the upper left jaw. Treatment. A facial degloving plus left medial maxillectomy was performed, as a finding, a left nasal tumor affecting the lateral wall of the left nostril, the bone of the nostril and the anterior and medial wall of the upper left maxilla. The biopsy described a benign osteofibrous proliferation with several osteoclast-like multinucleated giant cells, findings compatible with ossifying fibroma. Outcome. In the immediate post-surgery, he presented a good evolution with a progressive decrease in facial edema and improvement in pain. A week later he was followed up with good clinical progress, a decrease in facial edema was observed and no nasal bleeding was evident.