ArticleFrontiers in oral health2025
Deep circumflex iliac artery flap maxillary reconstruction for juvenile trabecular ossifying fibroma: a case report and systematic review.
Article in Frontiers in oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Juvenile trabecular ossifying fibroma (JTOF) is a rare benign fibro-osseous tumor predominantly affecting the maxillofacial region in children and adolescents. This study represented a case of maxillary reconstruction using deep circumflex iliac artery (DCIA) flap for JTOF and systematically reviewed the clinical characteristics and management of JTOF. A systematic review of published studies was performed. Information including clinical features, management, and follow-up was collected. We reported a 15-year-old male with maxillary JTOF. The patient underwent maxillectomy followed by DCIA flap reconstruction guided by 3D-printed surgical guides. No recurrence during 24-month follow-up period. The systematic review included 43 articles and 86 cases. Tumors involved the maxilla and mandible equally, with an average diameter of 4.8 cm. The overall recurrence rate was 23.9%, with a mean follow-up period of 39.2 months. We systematically reviewed the clinical features of JTOF and reported a case managed with DCIA flap maxillary reconstruction. Larger cohorts and extended follow-up are needed to determine the optimal management strategy for this rare disease.
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