A case of monostotic fibrous dysplasia of the maxillary sinüs

Year 2003, Volume: 10 Issue: 5, 208 - 211, 18.10.2003

Lütfi Oktay Erdem C. Zuhal Erdem Şebnem Kargı

Abstract

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 sinüs. Axial and coronal computed tomography seans showed a heterogeneous mass that expanded the right maxillary sinüs, leading to nasal obstruction and cortical thickening of the maxilla. No signs of destruetion or erosion in the cortical bone were identified. An endonasal endoscopic biopsy was performed and the diagnosis of fibrous dysplasia was confirmed histologically.

Keywords

Fibrous dysplasia, monostotic/pathology/radiography, maxillary sinus/pathology/radiography, paranasal sinüs diseases/pathology/radiography, tomography, X-ray computed

Maksiller sinüste monostotik fibröz displazi: Olgu sunumu

Abstract

Fibröz displazi, yavafl ilerleme gösteren, benign ka- rakterli nadir bir kemik hastalığıdır. Paranazal sinüs- lerin monostotik tutulumu nadirdir. İki yılı aflkın bir süredir yüz asimetrisi, kronik sinüzit, tekrarlayıcı bafl ağrısı ve nefes darlığı flikayetleri olan 54 yaflındaki kadın hastanın çekilen düz grafilerinde opasifikas- yon ve maksiller sinüste geniflleme gözlendi. Aksiyel ve koronal bilgisayarlı tomografi görüntülerinde mak- siller sinüste genifllemeye, burun tıkanıklığına ve maksillada kortikal kalınlaflmaya yol açan heterojen kitle belirlendi. Kortikal kemikte herhangi bir erozyon ya da bozulma belirtileri yoktu. Hastaya endonazal endoskopik biyopsi yapıldı ve fibröz displazi tansı histolojik olarak doğrulandı

Keywords

Fibröz displazi, monostotik/patoloji/radyografi, maksiller sinüs/patoloji/radyografi, paranazal sinüshastalıkları/patoloji/radyografi, bilgisayarlı tomografi

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