CASE REPORT article
Front. Oral Health
Sec. Oral and Maxillofacial Surgery
Deep circumflex iliac artery flap maxillary reconstruction for juvenile trabecular ossifying fibroma: a case report and systematic review
Provisionally accepted
- 1Shenzhen Hospital, The University of Hong Kong, Shenzhen, China
- 2Shenzhen University General Hospital, Shenzhen, China
- 3The University of Hong Kong, Hong Kong, Hong Kong, SAR China
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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.
Keywords: Juvenile trabecular ossifying fibroma, virtual surgical planning, computer-assisted surgery, Deep circumflex iliac artery flap, Maxillary reconstruction
Received: 28 Jun 2025; Accepted: 27 Nov 2025.
Copyright: © 2025 Huang, Chen, ZHU, Zhang, WU and Su. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Richard Yuxiong Su
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