Fibrous dysplasia fd is a nonneoplastic benign disorder in which normal bone is replaced by fibrous tissue and immature bone 1812 1620 21which may affect one monostotic or more bones polyostotic 1417 no involvement of soft tissues was observed either. Fibrous dysplasia of the maxilla in an elderly female. Fibrous dysplasia affecting maxilla in a year old. Fibrous dysplasia fd is an uncommon skeletal disorder in which normal bone is replaced by abnormal fibroosseous tissue. The tumor expands into the right maxillary sinus and the orbital cavity, fusing with the right maxilla at the maxillary tuberosity and blocking the bilateral choanas, which caused marked proptosis and blurred vision. Pdf on dec 31, 2018, pinto marcelo domingues and others published fibrous dysplasia in maxillary bone. Fibrous dysplasia involves the maxilla almost twice as often as the mandible, frequenting the posterior region and is usually unilateral in nature. Fibrous dysplasia fd is an idiopathic skeletal disorder in which the trabecular bone is replaced and distorted by poorly organized, structurally unsound fibro. Case report find, read and cite all the research you need on researchgate. We report a case of polyostotic fibrous dysplasia in a male patient.
The true incidence and prevalence of fibrous dysplasia are difficult to estimate, but the lesions are not rare. Fibrous dysplasia fd is a rare bony disorder in which normal bone is replaced by abnormal fibroosseous tissue. Fibrous dysplasia is a benign bone lesion characterized by replacement of normal bone by fibrous connective tissue, and its. The recurrent behavior of fibrous dysplasia is essential to its surgical planning and it was also analyzed on this study. The unpolished glass appearance is due to polioshotica mixed mineralisation pattern of the lesion, that is, radiolucent areas corresponding to predominant fibrous tissue and more radiopaque areas corresponding to the bone tissue content 19 am j of ophthal. It represents with three forms namely monostotic single bone involvement, polyostotic multiple bone. Fibrous dysplasia belongs to a group of fibroosseous lesions in which the normal bone is replaced by cellular fibrous connective tissue stroma. Fibrous dysplasia ossifying fibroma of the maxilla in a. Fibrous dysplasia is a benign intramedullary fibroosseous lesion originally described by lichtenstein1 in 1938 and by lichtenstein and jaffe in 19422. Cbct features and histopathological examination of fibrous dysplasia in maxilla. The lesion is radioopaque with some radiolucent mottling. The lesion may involve one or more bones being the maxilla the facial bone more affected. We report a case of polyostotic fibrous dysplasia in a.
Midfacial degloving approach for management of the maxillary fibrous dysplasia. Fibrous dysplasia has a varied radiographic appearance. We include a brief discussion of this entity and its syndromic associations only because it was at one time considered to be a specific variant of fibrous dysplasia which it is not. The fibrous dysplasia is a benign bone disease, of slow. Fibrous dysplasia fd is a benign bone lesion characterized by. Fibrous dysplasia is a nonneoplastic developmental disease of bone, which manifest as a defect in osteoblastic differentiation and maturation. Radiology and histopathology help to diagnose the condition.
Fibrous dysplasia is characterized by excessive proliferation of boneforming mesenchymal cells. Radiographic diagnosis of fibrous dysplasia in maxilla ncbi nih. Spontaneous osteosarcoma transformation of fibrous. The maxilla is the most commonly affected facial bone, with. Approximately 30% of monostotic fd mfd lesions are found in the cranial or facial bones. Fibrous dysplasia ossifying fibroma of the maxilla analysis of 14 cases edwin pound, kenneth pickrell. Fibrous dysplasia is a developmental tumor like condition in which normal bone is replaced by excessive proliferation of cellular fibrous connective tissue intermixed with irregular bony trabeculae. Objective fibrous dysplasia fd is a benign bone disorder in facial bones. Benign fibroosseous lesions of the craniofacial complex a. In mfd, the zygomatico maxillary complex zmc most commonly involved in pfd and mas, the craniofacial region is involved in 90% of the cases and the anterior cranial base is involved in over 95% of cases.
Fibrous dysplasia of the maxilla or mandible may cause the displacement of permanent teeth, interfere with the eruption of new teeth, and. Fibrous dysplasia fd is a nonneoplastic tumorlike congenital process, manifested as a localized defect in osteoblastic differentiation and maturation, with the replacement of normal bone with large fibrous stroma and islands of immature woven bone. Midfacial degloving approach for management of the. Spontaneous regeneration after juvenile ossifying fibroma resection. It often involves the long bones, craniofacial bones, ribs, and pelvis. Pdf fibrous dysplasia fd is a bone development anomaly characterized by hamartomatous proliferation of fibrous tissue within the. This study evaluates the possibility of diagnosing fibrous dysplasia. Fibrous dysplasia involving the right maxillary sinus and turbinate. Get a printable copy pdf file of the complete article 1. Fibrous dysplasia ossifying fibroma of the maxilla. Diagnosis the most common presenting symptom in fibrous dysplasia is a gradual, painless enlargement of the involved bone or bones in the craniofacial region, clinically seen as facial asymmetry. Clinical guidelines for the management of craniofacial fibrous. Craniofacial fibrous dysplasia is 1 of 3 types of fibrous dysplasia that can affect the bones of the craniofacial complex, including the mandible and maxilla. Cherubism, familial fibrous dysplasia, is a benign dysplastic bone disease that is limited to the maxilla and mandible and is not included in the classification of fibroosseous lesions.
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