Case 8: Fibrous Dysplasia
A 28 year old male was seen with complaints of
left-sided nasal obstruction. The CT scan showed a densely
calcified solid mass occupying the right nasal cavity extending into
the ethmoid sinus, frontal sinus and maxillary ostium with thinning of
the
anterior maxillary sinus wall and causing nasal septal deviation to
the left side (See Figure 1).
|
Figure 1: Coronal CT Scan of
Fibrous Dysplasia
Click on Pictures to Enlarge
|
Figure 2: Histological
Findings
Click on Pictures to Enlarge |
The mass was surgically removed using a Weber-Ferguson
approach. The two solid white balls of bony consistency were removed
from the maxillary sinus and sent for histological examination. The histopathology report
showed a Hallmark sign of Chinese letter pattern imparted by a narrow, curved,
mishaped bone trabeculae that are surrounded by fibrous elements. The
lesion was reported as fibrous dysplasia (See Figure 2).
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World Articles in Ear, Nose and Throat
www.waent.org
Jan
27, 2012
Vol 5-1
Copyright WAENT 2012 All Rights Reserved
