Ossifying fibroma (OF) is an uncommon benign fibro-osseous lesion. Based on its clinical, morphological, and radiological features, OF is further divided into cemento-ossifying fibroma (COF), juvenile psammomatoid ossifying fibroma (JPOF), and juvenile trabecular ossifying fibroma (JTOF). JPOF rarely involves the cranial base, with limited reports published on spheno-orbital JPOF. In this paper, we report a case of JPOF of the greater wing of the sphenoid bone and lateral orbital wall in an 11-year-old child and show a surgical video. Although rare, JPOF should be considered in the differential diagnosis of fibro-osseous lesions of the spheno-orbital region.

骨化纤维瘤（OF）是一种少见的良性纤维骨病变。根据其临床、形态学和影像学特征，OF 进一步分为牙骨质骨化纤维瘤 (COF)、幼年型砂粒样骨化纤维瘤 (JPOF) 和幼年型骨小梁骨化纤维瘤 (JTOF)。JPOF 很少涉及颅底，关于蝶眼眶 JPOF 的报道有限。在本文中，我们报告了一例 11 岁儿童蝶骨大翼和眶外壁 JPOF 的病例，并展示了手术视频。虽然很少见，但在蝶眼眶区纤维骨病变的鉴别诊断中应考虑 JPOF。