A Conservative Approach for Management of Aggressive Maxillary Myofibroma in Pediatric Patients: A New Perspective

Background: Myofibromas (MF) are rare benign tumors primarily affecting the head and neck region, with maxillary involvement being uncommon, especially in pediatric patients. Traditional management typically involves aggressive resection. This report presents a conservative approach utilizing 3D-based technologies for treating Myofibromas affecting the maxilla and hard palate. Case presentation: A 13-year-old male with a Myofibroma of the hard palate confirmed by incisional biopsy was managed conservatively through 3D imaging, segmentation, 3D printing, local excision, and a custom-fabricated wafer to support tissue growth and rehabilitation. Results: Secondary healing of the surgical area proceeded smoothly with minimal morbidity. Clinical and radiological findings at follow-ups showed soft and hard tissue rehabilitation. The patient is currently undergoing routine follow-ups and exhibits excellent healing with no signs of recurrence. Conclusions: Our case highlights the significance of conservative management in minimizing tissue resection and postoperative complications. It also emphasizes the necessity of 3D-based treatment planning for precise treatment planning and fabrication of patient-specific devices. This novel approach provides a promising alternative for managing aggressive maxillary Myofibroma in young patients.