Giant Psammomatoid Ossifying Fibroma: Management Challenges and Role of Virtual Surgical Planning

Abstract

Abstract
Ossifying fibroma is a fibro-osseous tumor that tends to be well-defined, has a propensity for the mandible,
and has a high potential for recurrence. Psammomatoid ossifying fibroma is an aggressive variant of juvenile
ossifying fibroma and can destroy surrounding structures. This case describes the unusual presentation of
psammomatoid ossifying fibroma of the mandible. A 30-year-old female patient presented with a history of
progressive swelling on the right side of her face from the past 10 years, causing facial contour deformity. It
details the diagnostic process, treatment challenges, and potential implications of a massive psammomatoid
ossifying fibroma affecting the mandibular ramus. The clinical, radiological, and histological findings about
management plans and outcomes are discussed and pertinent literature has been reviewed. The impact of the
multidisciplinary approach on treatment outcomes and patient quality of life will also be taken into account.
The worth of immediate reconstruction with free flaps and a 3D stereolithographic model is also discussed.
Keywords: Psammommatoid ossifying fibroma, Virtual surgical planning, Multidisciplinary, Reconstruction, Disarticulation resection