Fibrous dysplasia of the middle nasal turbinate: imaging and clinical significance

Bhat, Venkatraman; Kansal, Kanav; Krishna, Shri Harsha; Pobbysetty, Rekha; Hassan, Suhel

doi:10.1259/bjrcr.20150296

Cited by 3 publications

(13 citation statements)

References 7 publications

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“…However, when the affected bone encroaches on neighboring anatomical structures, it can lead to symptoms such as headaches, vision loss, proptosis, double vision, hearing loss, loss of sense of smell (anosmia), nasal congestion, nosebleeds (epistaxis), excessive tearing (epiphora), and recurrent rhinosinusitis [ 7 ]. While the exact incidence of nasal cavity involvement is not well-established, many patients with nasal cavity involvement exhibit symptoms [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…The detection of FD in imaging is variable and highly dependent on the site of involvement as well as the proportion of involved "mineralized bone to fibrous tissue" within the lesion [ 1 , 3 ]. Performing CT scans and MRIs will aid in the identification of distinct subsites' involvement, identifying specific landmarks, as well as detecting the pressure exerted on the surrounding neurovascular tissue.…”

Section: Discussionmentioning

confidence: 99%

“…FD is generally asymptomatic at the onset; the clinical presentation depends on the involved bone [ 2 ]. Craniofacial involvement may lead to nasal obstruction, headaches, and facial asymmetry [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Navigating Fibrous Dysplasia of the Middle Turbinate: A Decade-Long Journey and Comprehensive Management Strategies

AlAmmari,

Almahbub,

Alfawwaz

2023

Cureus

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The authors report an unusual case of monostotic fibrous dysplasia involving the middle turbinate. Only four cases of fibrous dysplasia (FD) involving the middle turbinate had previously been documented globally, all of which entailed severe presentation and were treated surgically. We report the first case of asymptomatic monostotic FD of the middle turbinate in the Middle East, followed over a span of 10 years. Fibro-osseous lesions are rare, benign tumors of the sinonasal and orbital regions. Craniofacial FD most commonly affects the maxilla and mandible, followed by the frontal, parietal, and occipital bones. The prevalence of most patients presenting with monostotic craniofacial FD is between 10% and 29%. It is typically found incidentally, and is most likely to be asymptomatic. The risk of skull base damage and cerebrospinal fluid leaks is increased in this case due to the involvement of the middle turbinate and the expansion of FD into the lateral lamella and the cribriform plate. Our patient was managed conservatively with regular follow-up due to the minor clinical symptoms despite the extent of the disease. We aim to elucidate the specific challenges associated with middle turbinate involvement and contribute to the growing body of knowledge in this field, ultimately improving the care and quality of life for individuals affected by this condition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Navigating Fibrous Dysplasia of the Middle Turbinate: A Decade-Long Journey and Comprehensive Management Strategies

AlAmmari,

Almahbub,

Alfawwaz

2023

Cureus

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“…La DF es una afección caracterizada por el reemplazo progresivo de las estructuras óseas normales por la proliferación excesiva de tejido conectivo fibroso celular benigno con estructuras óseas anormales, que conduce a una desorganización del hueso. Dependiendo del grado de afectación de los componentes esqueléticos, la enfermedad puede clasificarse como monostótica (limitada a un solo hueso) o poliostótica (2,3,11).…”

Section: Discussionunclassified

Displasia fibrosa monostótica craneofacial

Carías

Díaz

2022

Acta otorrinolaringol cir cabeza cuello

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La displasia fibrosa es una enfermedad benigna del hueso, de base genética y de progresión lenta, que se caracteriza por el reemplazo progresivo del hueso normal por tejido fibrótico. El proceso puede afectar un solo hueso o múltiples huesos (displasia fibrosa monostótica o poliostótica); esta última puede estar asociada con enfermedades sindrómicas, como el síndrome de McCune-Albright. Objetivo Revisar el diagnóstico y tratamiento de los pacientes con displasia fibrosa craneofacial. Materiales y métodos Se realizó una revisión de artículos científicos, en revistas indexadas en línea como técnica para la recolección de información relevante en bases de datos como Scielo, Google Académico, Scopus, PubMed, y Dynamed, con artículos publicados en inglés y español. El periodo de revisión tuvo como límite el 01 de junio de 2020. Los términos de búsqueda fueron: “displasia fibrosa”, “displasia fibrosa monostótica”, y “displasia fibrosa craneofacial”. Obteniéndose 33 artículos. Conclusión La displasia fibrosa monostótica craneofacial es una enfermedad rara, que afecta principalmente la mandíbula, el hueso maxilar y el cornete inferior. Puede cursar asintomática o presentar deformidades faciales, dolor y trastornos visuales. Su diagnóstico es principalmente por estudios de imágenes y la biopsia. El tratamiento quirúrgico debe de ser bien planeado en cada uno de los pacientes, enfocado a deformidades faciales, evitar los trastornos visuales y es necesario cuando se maligniza la lesión.

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“…El proceso puede afectar un solo hueso o múltiples huesos (DF monostótica o poliostótica respectiva-mente); esta última puede estar asociada con enfermedades sindrómicas, como el síndrome de McCune-Albright. Los huesos faciales y el cráneo se ven afectos en un 10%-25% de los pacientes con DF monostótica, pero es infrecuente en la fosa nasal [3][4][5][6] .…”

Section: Introductionunclassified