Juvenile Cemento-Ossifying Fibroma of the Maxilla

A 14-year-old girl presented with a 3-month history of bulging right cheek and right nasal obstruction. The patient denied any pain, diplopia, tooth loosening, or bite change. On examination the cheek appeared moderately swollen and firm to palpation. Except for minimal right exophthalmos, the rest of the ophthalmologic evaluation was normal. Rhinoscopy revealed a right nasal cavity obstructed by a medially displaced lateral wall and mucopurulent discharge. The nasal septum was deflected to the left. Findings on the oral and dental examinations were normal. The rest of the physical examination findings were normal.