A case of monostotic fibrous dysplasia of the maxillary sinus

Fibrous dysplasia is an uncommon benign disease of the bone, with slow progression. Monostotic involvement of the paranasal sinuses is rare. We report a 54-year-old woman who had complaints of facial asymmetry, chronic sinusitis, recurrent headaches, and nasal obstruction for two years. Conventional...

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Published inKulak burun boğaz ihtisas dergisi Vol. 10; no. 5; p. 208
Main Authors Erdem, L Oktay, Erdem, C Zuhal, Kargi, Sebnem
Format Journal Article
LanguageEnglish
Published Turkey 01.05.2003
Subjects
Airway Obstruction - etiology
Diagnosis, Differential
Female
Fibrous Dysplasia, Monostotic - complications
Fibrous Dysplasia, Monostotic - diagnosis
Fibrous Dysplasia, Monostotic - diagnostic imaging
Fibrous Dysplasia, Monostotic - pathology
Headache - etiology
Humans
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - pathology
Middle Aged
Paranasal Sinus Diseases - complications
Paranasal Sinus Diseases - diagnosis
Paranasal Sinus Diseases - diagnostic imaging
Paranasal Sinus Diseases - pathology
Tomography, X-Ray Computed
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Summary:Fibrous dysplasia is an uncommon benign disease of the bone, with slow progression. Monostotic involvement of the paranasal sinuses is rare. We report a 54-year-old woman who had complaints of facial asymmetry, chronic sinusitis, recurrent headaches, and nasal obstruction for two years. Conventional radiography showed opacification and expansion of the maxillary sinus. Axial and coronal computed tomography scans showed a heterogeneous mass that expanded the right maxillary sinus, leading to nasal obstruction and cortical thickening of the maxilla. No signs of destruction or erosion in the cortical bone were identified. An endonasal endoscopic biopsy was performed and the diagnosis of fibrous dysplasia was confirmed histologically.
ISSN:1300-7475