Endoscopic Paring Down of Fibrous Dysplasia of the Middle Turbinate

Year 2019, Volume: 2 Issue: 1, 24 - 28, 29.05.2019

Produl Hazarika Seema Punnnoose Rohit Singh

Abstract

Fibrous dysplasia is a fibro-osseous disorder, causing a disorganized structure of the bone. It affects mostly the flat bones, such as the bones of the skull and facial skeleton, pelvic girdle, and tibia, but the primary involvement of the nasal turbinate itself is rare. To the best of our knowledge, only 5 such cases have been reported in the English literature to date, and we aim to present 1 more case of monostatic fibrous dysplasia of the right middle turbinate (MT), highlighting the need for a more conservative transnasal endoscopic surgical paring-down approach to reduce the surgical morbidity.

Keywords

Fibrous dysplasia , endoscopic , nasal turbinate , nasal obstruction

References

• Bhat V, Kansal K, Krishna SH, Pobbysetty R, Hassan S. Fibrous dysplasia of the middle nasal turbinate: imaging and clinical significance. BJR Case Rep 2016; 2: doi: 10.1259/bjrcr.20150296.
• Parekh SG, Donthineni-Rao R, Ricchetti E, Lackman RD. Fibrous dysplasia. J Am Acad Orthop Surg 2004; 12: 305-13.
• DiCaprio MR, Enneking WF. Fibrous dysplasia. Pathophysiology, evaluation, and treatment. J Bone Joint Surg Am 2005; 87: 1848-64.
• Lisle DA, Monsour PA, Maskiell CD. Imaging of craniofacial fibrous dysplasia. J Med Imaging Radiat Oncol 2008; 52: 325-32.
• Contratti F, Menniti A, Fraioli MF, Fraioli B. Fibrous dysplasia of the clivus with a second T8 bone lesion: Case report. Surg Neurol 2006; 65: 202-5.
• Wei YT, Jiang S, Cen Y. Fibrous dysplasia of skull. J Craniofac Surg 2010; 21: 538-42.
• Mahadevappa A, Patel S, Ravishankar S, Manjunath GV. Monostotic fibrous dysplasia of the rib: A case report. Case Rep Orthop 2012: doi: 10.1155/2012/690914.
• Park HJ, Cho MS, Lee SS. Fibrous dysplasia of the inferior turbinate. Int J Clin Exp Pathol 2013; 6: 531-5.
• Cheng J, Wang Y, Yu H, Wang D, Ye J, Jiang H, et al. An epidemiological and clinical analysis of craniomaxillofacial fibrous dysplasia in a Chinese population. Orphanet J Rare Dis 2012; 7: 80.
• Lee JS, FitzGibbon EJ, Chen YR, Kim HJ, Lustig LR, Akintoye SO, et al. Clinical guidelines for the management of craniofacial fibrous dysplasia. Orphanet J Rare Dis 2012; 7 (Suppl 1): S2.