{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:35Z","timestamp":1756425755453,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,29]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>A man in his 20s presented with complaints of unilateral nasal obstruction for the past 6 years that progressively worsened leading to irrational use of over-the-counter nasal decongestants. With the worsening of symptoms, a non-contrast CT was done. It showed a dense expansile sclerotic lesion of the right inferior turbinate, which was excised endoscopically. Cemento-ossifying fibromas of the inferior turbinate are rare and require assessment and surgical excision to relieve the symptom of nasal obstruction. It derives its name from the variable proportions of fibrous and mineralised tissue present in it and exclusively develops in the craniofacial region. It can be surgically managed by an endoscopic, an endonasal non-endoscopic (with a speculum) or an open approach (lateral rhinotomy, sublabial approach or mid-facial degloving). Here, we present how such a case was detected and managed surgically by the endoscopic approach, which is a minimally invasive option with shorter hospital stay and early recovery.<\/jats:p>","DOI":"10.1136\/bcr-2023-255881","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T03:45:14Z","timestamp":1704858314000},"page":"e255881","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Misdiagnosed long-standing unilateral nasal obstruction: ossifying fibroma of the inferior turbinate"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1511-0619","authenticated-orcid":false,"given":"Akhila Sarah","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of ENT, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Menuskodige C","family":"Trupthi","sequence":"additional","affiliation":[{"name":"Department of ENT, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhurima","family":"Ponmar","sequence":"additional","affiliation":[{"name":"Department of General Pathology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rijo","family":"Issac","sequence":"additional","affiliation":[{"name":"Department of General Pathology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"2025082723263497000_17.1.e255881.1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s12105-021-01351-3","article-title":"Ossifying fibroma of non-odontogenic origin: a fibro-osseous lesion in the craniofacial skeleton to be (Re-)considered","volume":"16","author":"Baumhoer","year":"2022","journal-title":"Head Neck Pathol"},{"key":"2025082723263497000_17.1.e255881.2","unstructured":"EI-Naggar AK . WHO classification of head and neck tumours\/Adel K EI-Naggar. International Agency; 2017. Available: http:\/\/125.212.201.8:6008\/handle\/DHKTYTHD_123\/13486"},{"key":"2025082723263497000_17.1.e255881.3","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ijom.2019.06.029","article-title":"Juvenile ossifying fibroma of the jaws and paranasal sinuses: a systematic review of the cases reported in the literature","volume":"49","author":"Chrcanovic","year":"2020","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025082723263497000_17.1.e255881.4","unstructured":"WHO Classification of Tumours Editorial Board . Head and neck tumours. In: WHO Classification of Tumours Series 5th ed; vol 9. Lyon (France): International Agency for Research on Cancer, 2022: Available: https:\/\/publications.iarc.fr\/"},{"key":"2025082723263497000_17.1.e255881.5","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.jormas.2021.04.008","article-title":"The importance of clinical and radiological findings for the definitive histopathologic diagnosis of benign fibro-osseous lesions of the jaws: study of 276 cases","volume":"123","author":"Soluk-Tekkesin","year":"2022","journal-title":"J Stomatol Oral Maxillofac Surg"},{"key":"2025082723263497000_17.1.e255881.6","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1007\/s12105-014-0590-0","article-title":"Fibro-osseous lesions of the Craniofacial skeleton: an update","volume":"8","author":"El-Mofty","year":"2014","journal-title":"Head Neck Pathol"},{"key":"2025082723263497000_17.1.e255881.7","unstructured":"Juvenile Active Ossifying Fibroma . Its nature, dynamics and origin. - abstract - Europe PMC. 2022. Available: https:\/\/europepmc.org\/article\/med\/1843064"},{"key":"2025082723263497000_17.1.e255881.8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-234432","article-title":"Massive juvenile ossifying fibroma arising from the middle turbinate","volume":"13","author":"Sofokleous","year":"2020","journal-title":"BMJ Case Rep"},{"key":"2025082723263497000_17.1.e255881.9","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.amjoto.2004.03.004","article-title":"Ossifying fibroma of the middle turbinate: a case report","volume":"25","author":"Caylakli","year":"2004","journal-title":"Am J Otolaryngol"},{"key":"2025082723263497000_17.1.e255881.10","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(196810)22:4<861::AID-CNCR2820220425>3.0.CO;2-C"},{"key":"2025082723263497000_17.1.e255881.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.01.013"},{"key":"2025082723263497000_17.1.e255881.12","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100093610"},{"key":"2025082723263497000_17.1.e255881.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00349-9"},{"key":"2025082723263497000_17.1.e255881.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdip.2005.10.002"},{"key":"2025082723263497000_17.1.e255881.15","doi-asserted-by":"publisher","DOI":"10.1177\/000348946807700305"},{"key":"2025082723263497000_17.1.e255881.16","unstructured":"Monteiro CR , Marques MPC , Ferreira NGM , et al . Ossifying fibroma of the inferior turbinate - case report. Braz J Otorhinolaryngol 2001. Available: http:\/\/oldfiles.bjorl.org\/conteudo\/acervo\/acervo_english.asp?id=2780"},{"key":"2025082723263497000_17.1.e255881.17","doi-asserted-by":"crossref","unstructured":"Pata YS , Eki\u0307ci\u0307 ID , Ci\u0307hangi\u0307ro\u011flu M , et al . Ossifying fibroma of the inferior turbinate. Kulak Burun Bogaz Ihtis Derg 2011:163\u20136. doi:10.5606\/kbbihtisas.2011.019","DOI":"10.5606\/kbbihtisas.2011.019"},{"key":"2025082723263497000_17.1.e255881.18","first-page":"87","article-title":"Aggressive psammomatoid ossifying fibroma of the inferior turbinate and lateral nasal wall","volume":"57","author":"Danielides","year":"2003","journal-title":"Acta Otorhinolaryngol Belg"},{"key":"2025082723263497000_17.1.e255881.19","unstructured":"Cohn HC , MacPherson TA , Barnes L , et al . 1982 Cemento-ossifying fibroma of the ethmoidal sinus manifesting as proptosis. Ann Ophthalmol Available: https:\/\/pubmed.ncbi.nlm.nih.gov\/7092025\/"},{"key":"2025082723263497000_17.1.e255881.20","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(96)70199-7"},{"key":"2025082723263497000_17.1.e255881.21","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(97)70073-1"},{"key":"2025082723263497000_17.1.e255881.22","first-page":"766","article-title":"A transfacial approach to the nasal-paranasal cavities and anterior skull base","volume":"114","author":"Deeb","year":"1988","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255881","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:26:49Z","timestamp":1756362409000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255881"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,9]]},"published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1136\/bcr-2023-255881"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255881","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}