Ruiz-Morales M, Guerrero-Gamiño RD, Payan-Mendivil C, Pardo-Páez R, Mancilla-Hernández V

Language: Spanish
References: 8
Page: 267-271
PDF size: 337.00 Kb.

ABSTRACT

Background: Fibrous dysplasia belongs to a group of neoplasms known as benign fibro-osseous lesions (osteoma, ossifying fibroma and fibrous dysplasia), which share similar histopathological properties, having as main characteristic the replacement of normal bone by tissue composed of collagen fibers, fibroblasts and a variable amount of mineralized tissue. There’s a low incidence of polyostotic fibrous dysplasia affecting the nasal cavity.
Clinical case: A 44-year-old female patient presented with left nasal obstruction, vertigo and one-year history of left frontoparietal headache. Computed tomography showed lesions with a ground-glass appearance at the level of the frontal, parietal, ethmoid, sphenoid, and left temporal bones. Patient underwent surgery, through a functional endoscopic surgery of the nose and paranasal sinuses in order to improve her nasal function, obtaining a good post-surgical evolution. The diagnosis of fibrous dysplasia was confirmed by histopathological study of the material obtained at surgery.
Conclusions: Fibrous dysplasia with nasal presentation is very rare. In this case, the endoscopic treatment obtained a good result in terms of improvement in the nasal symptoms of the treated patient.

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