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A Rare Cause of Unilateral Chronic Nasal Obstruction: Fibrous Dysplasia of the Middle Turbinate

Year 2015, , 106 - 111, 09.10.2015
https://doi.org/10.17826/cutf.23625

Abstract

Fibrous dysplasia is a nonneoplastic fibro-osseous lesion characterized by fibroblastic proliferation and progressive replacement of normal bone with fibrotic tissue and disorganised bony trabeculae.Fibrous dysplasia infrequently occurs in the sinonasal tract. Location in the middle turbinate is extremely rare. It is usually asymptomatic but, in the advanced stage, nasal obstruction due to extension of disease and pain due to neural compression, or pathological fractures may occur. It is usually secondary to extension of disease from adjacent bones. In this case report we presented a 54 year old woman with unilateral chronic nasal obstruction

References

  • Park HJ, Cho MS, Lee SS. Fibrous dysplasia of the inferior turbinate. Int J Clin Exp Pathol. 2013;6:531-5.
  • Saetti R, Silvestrini M, Marino F, Narne S. Fibrous dysplasia of middle turbinate associated with Widal syndrome: endoscopic treatment of a rare case. Acta Otorhinolaryngol Ital. 2004;24:288-91.
  • Cohen MM Jr, Howell RE. Etiology of fibrous dysplasia and McCune-Albright syndrome. Int J Oral Maxillofac Surg. 1999;28:366-71.
  • Alba García JR, Armengot Carceller M, Pérez Fernández CA, Díaz Fernández A,Taleb C, Campos Catalá A, Basterra Alegría J. [An exceptional form of cranio-facial fibrous dysplasia: fibrous dysplasia of middle turbinate]. Acta Otorrinolaringol Esp. 2002;53:291-4.
  • Kessler A, Berenholz LP, Segal S. Use of intranasal endoscopic surgery to relieve ostiomeatal complex obstruction in fibrous dysplasia of the paranasal sinuses. Eur Arch Otorhinolaryngol. 1998;255:454-6.
  • LaBagnara J Jr, Yuppa F, Klein MH. Fibrous dysplasia of the middle turbinate with primary hyperparathyroidism. Ear Nose Throat J. 1998;77:552-3.
  • Feller L, Wood NH, Khammissa RA, Lemmer J, Raubenheimer EJ. The nature of fibrous dysplasia. Head Face Med. 2009;9:5-22.
  • Sadeghi SM, Hosseini SN. Spontaneous conversion of fibrous dysplasia into osteosarcoma. J Craniofac Surg. 2011;22:959-61.
  • Karligkiotis A, Terranova P, Dallan I, Castelnuovo P. Monostotic fibrous dysplasia of the inferior turbinate. Otolaryngol Head Neck Surg. 2012;146:1035-6.
  • Ozcan KM, Akdogan O, Gedikli Y, Ozcan I, Dere H, Unal T. Fibrous dysplasia of inferior turbinate, middle turbinate, and frontal sinus. B-ENT. 2007;3:35-8.
  • Isenberg SF. Endoscopic approach to the diagnosis of fibrous dysplasia. Ear Nose Throat J. 1994;73:926- 7.
  • Galvan O, Gassner EM, Neher A, Gunkel AR. Fibro- osseous lesion of the middle turbinate: ossifying fibroma or fibrous dysplasia? J Laryngol Otol. 2007;121:1201-3.
  • Lisle DA, Monsour PA, Maskiell CD. Imaging of craniofacial fibrous dysplasia. J Med Imaging Radiat Oncol. 2008;52:325-32.
  • Caudill R, Saltzman D, Gaum S, Granite E. Possible relationship of primary hyperparathyroidism and fibrous dysplasia: report of case. J Oral Surg. 1977;35:483-90.
  • Parekh SG, Donthineni-Rao R, Ricchetti E, Lackman RD. Fibrous dysplasia. J Am Acad Orthop Surg. 2004;12:305-13.
  • Tsai TL, Ho CY, Guo YC, Chen W, Lin CZ. Fibrous dysplasia of the ethmoid sinus. J Chin Med Assoc. 2003;66(2):131-3. Erratum in: J Chin Med Assoc. 2003;66:192.
  • Nambi GI, Jacob J, Gupta AK. Monofocal maxillary fibrous dysplasia with orbital, nasal and oral obstruction. J Plast Reconstr Aesthet Surg. 2010;63:16-8.
  • DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am. 2008;87:1848-64.

Tek Taraflı Kronik Burun Tıkanıklığının Nadir Bir Sebebi: Orta Konka Kaynaklı Fibröz Displaz

Year 2015, , 106 - 111, 09.10.2015
https://doi.org/10.17826/cutf.23625

Abstract

Fibröz displazi fibroplastik proliferasyon ve normal kemiğin progresif fibröz doku ile yerdeğiştirmesi ile karakterize nonneoplastik fibroosseöz bir lezyondur. Fibröz displazi sıklıkla sinonazal bölgede olmak ile birlikte orta konka kemiğinde oluşumu oldukça nadirdir. Genellikle asemptomatiktir ancak ileri olgularda hastalığın yayılımı ile burun tıkanıklığı, sinir basısından ötürü ağrı veya patolojik kırıklar olabilir. Genellikle bağlı kemiklerden hastalığın uzanıma seconder olarak gelişir. Bu olgu sunumunda tek taraflı burun tıkanıklığı olan 54 yaşında bayan hasta literature bilgileri gözden geçirilerek sunuldu.

References

  • Park HJ, Cho MS, Lee SS. Fibrous dysplasia of the inferior turbinate. Int J Clin Exp Pathol. 2013;6:531-5.
  • Saetti R, Silvestrini M, Marino F, Narne S. Fibrous dysplasia of middle turbinate associated with Widal syndrome: endoscopic treatment of a rare case. Acta Otorhinolaryngol Ital. 2004;24:288-91.
  • Cohen MM Jr, Howell RE. Etiology of fibrous dysplasia and McCune-Albright syndrome. Int J Oral Maxillofac Surg. 1999;28:366-71.
  • Alba García JR, Armengot Carceller M, Pérez Fernández CA, Díaz Fernández A,Taleb C, Campos Catalá A, Basterra Alegría J. [An exceptional form of cranio-facial fibrous dysplasia: fibrous dysplasia of middle turbinate]. Acta Otorrinolaringol Esp. 2002;53:291-4.
  • Kessler A, Berenholz LP, Segal S. Use of intranasal endoscopic surgery to relieve ostiomeatal complex obstruction in fibrous dysplasia of the paranasal sinuses. Eur Arch Otorhinolaryngol. 1998;255:454-6.
  • LaBagnara J Jr, Yuppa F, Klein MH. Fibrous dysplasia of the middle turbinate with primary hyperparathyroidism. Ear Nose Throat J. 1998;77:552-3.
  • Feller L, Wood NH, Khammissa RA, Lemmer J, Raubenheimer EJ. The nature of fibrous dysplasia. Head Face Med. 2009;9:5-22.
  • Sadeghi SM, Hosseini SN. Spontaneous conversion of fibrous dysplasia into osteosarcoma. J Craniofac Surg. 2011;22:959-61.
  • Karligkiotis A, Terranova P, Dallan I, Castelnuovo P. Monostotic fibrous dysplasia of the inferior turbinate. Otolaryngol Head Neck Surg. 2012;146:1035-6.
  • Ozcan KM, Akdogan O, Gedikli Y, Ozcan I, Dere H, Unal T. Fibrous dysplasia of inferior turbinate, middle turbinate, and frontal sinus. B-ENT. 2007;3:35-8.
  • Isenberg SF. Endoscopic approach to the diagnosis of fibrous dysplasia. Ear Nose Throat J. 1994;73:926- 7.
  • Galvan O, Gassner EM, Neher A, Gunkel AR. Fibro- osseous lesion of the middle turbinate: ossifying fibroma or fibrous dysplasia? J Laryngol Otol. 2007;121:1201-3.
  • Lisle DA, Monsour PA, Maskiell CD. Imaging of craniofacial fibrous dysplasia. J Med Imaging Radiat Oncol. 2008;52:325-32.
  • Caudill R, Saltzman D, Gaum S, Granite E. Possible relationship of primary hyperparathyroidism and fibrous dysplasia: report of case. J Oral Surg. 1977;35:483-90.
  • Parekh SG, Donthineni-Rao R, Ricchetti E, Lackman RD. Fibrous dysplasia. J Am Acad Orthop Surg. 2004;12:305-13.
  • Tsai TL, Ho CY, Guo YC, Chen W, Lin CZ. Fibrous dysplasia of the ethmoid sinus. J Chin Med Assoc. 2003;66(2):131-3. Erratum in: J Chin Med Assoc. 2003;66:192.
  • Nambi GI, Jacob J, Gupta AK. Monofocal maxillary fibrous dysplasia with orbital, nasal and oral obstruction. J Plast Reconstr Aesthet Surg. 2010;63:16-8.
  • DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am. 2008;87:1848-64.
There are 18 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Süheyl Haytoğlu This is me

Nur Ekici This is me

Özgür Sürmelioğlu

Birgül Tuhanioğlu This is me

Osman Arıkan This is me

Publication Date October 9, 2015
Published in Issue Year 2015

Cite

MLA Haytoğlu, Süheyl et al. “A Rare Cause of Unilateral Chronic Nasal Obstruction: Fibrous Dysplasia of the Middle Turbinate”. Cukurova Medical Journal, vol. 40, 2015, pp. 106-11, doi:10.17826/cutf.23625.