Post-traumatic fibrous dysplasia of the parietal bone: A rare entity

Umerani, Muhammad Sohail; Bakhshi, Saqib Kamran; Abbas, Asad; Sharif, Salman; Arshad, Sidra

doi:10.4103/1793-5482.148800

Cited by 7 publications

(9 citation statements)

References 29 publications

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“…Cerebrospinal fluid fistulas complicate ∼ 2% of all head injuries and ∼ 12% to 30% of all skull base fractures; 11 CSF rhinorrhea and otorrhea are the most common forms of CSF fistulas after a head injury.…”

Section: Discussionmentioning

confidence: 99%

“…16 17 18 19 The rarity of craniopalpebral fistulas is due to the fact that the orbital walls are thicker and less fragile as compared with the thin bones of the frontal and ethmoidal sinuses and the cribriform plates. 4 Craniopalpebral fistulas are more commonly reported in children, 1 5 6 8 10 11 13 20 probably because their orbital walls are thinner. Additionally, frontal sinus agenesis has been hypothesized as one of the factors for the development of blepharoencephalocele.…”

Section: Discussionmentioning

confidence: 99%

“…It is a rare condition, with only 15 cases reported to date. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 It is usually traumatic in origin, 1 2 3 4 5 6 7 8 9 10 11 12 13 and very rarely congenital, without any history of trauma. 14 15 Traumatic blepharocele develops as a result of the breaching of an orbital bone fracture in the dura, leading to the formation of a craniopalpebral CSF fistula.…”

Section: Introductionmentioning

confidence: 99%

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Delayed Posttraumatic Blepharocele: A Rare Case Report with Review of the Literature

Patankar,

Chaudhary

2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Though posttraumatic cerebrospinal fluid (CSF) rhinorrhea and otorrhea are fairly common, blepharocele and blepharoencephalocele are rare, with only 15 cases reported to date.A 29-year-old female patient presented with a complaint of swelling of the right eyelid that had begun three months before. The patient had sustained a head injury 24 years prior to presentation.Imaging studies revealed the presence of a craniopalpebral CSF fistula. The patient underwent successful surgical repair of the fistula with craniotomy and duroplasty by autologous fascia lata graft.Delayed development of blepharocele 24 years after trauma is unusual, and, to our knowledge, the case herein reported is the first one in the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Delayed Posttraumatic Blepharocele: A Rare Case Report with Review of the Literature

Patankar,

Chaudhary

2023

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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“…A position correlation between increase in c-fos gene and FD was described by Marie et al [ 22 ]. Increase in c-fos gene has been related to post-traumatic FD in a couple of case reports[ 23 , 24 ]. Therefore, to avoid the risk of transforming a quiescent lesion into an aggressively growing lesion, we planned to proceed with sequential orthodontic tooth movement, using light forces, without applying any direct forces to the bone (through micro-implants) and to monitor the lesion periodically.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive management of malocclusion in maxillary fibrous dysplasia: A case report

Kaur¹,

Mohanty²,

Kochhar³

et al. 2021

WJCC

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BACKGROUND Fibrous dysplasia (FD) is a developmental hamartomatous bone disease characterized by a blend of fibrous and osseous entities. Though rarely malignant, the tumor can vary from being small and asymptomatic, to a fairly large sized lesion, progressing gradually, compromising occlusion and facial esthetics. Treatment approach depends on the stage of skeletal maturity. It primarily involves surgical management for stabilizing the disease process. Post-surgical comprehensive dental treatment is necessary for restoring form and function of the jaws and teeth. This article describes comprehensive orthodontic management of severe malocclusion in a surgically operated case of FD maxilla. CASE SUMMARY A 19-year female presented with a chief complaint of excessive gingival display when smiling. Dental history included swelling of gums around the upper right front teeth, diagnosed at the age of 15 as FD of the right anterior maxillary segment and treated with surgical recontouring of the dysplastic bone. The clinical and radiological examinations showed adequate post-surgical healing. The surgically treated dysplastic area presented with right canting of the maxillary anterior occlusal plane. The maxillary teeth were torqued palatally, with the root of the right maxillary canine exposed clinically. We discuss sequential management of the associated malocclusion with comprehensive fixed orthodontics, along with special precautions taken to prevent reactivation of the quiescent and healed lesion. CONCLUSION The adequate healing of fibro-dysplastic bone post-surgery must be allowed before initiating orthodontic tooth movement in the dysplastic bone. Periodic follow-ups are needed to monitor stability of occlusion and any relapse of the lesion.

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“…Moreover, there are more cases of frequent delays in the acquisition of medical attention and negligence, which usually leads to the exacerbation of the sequelae of TBI. 5 Pakistan is a low-income country with a population of over 180 million and a high rate of TBIs. It was reported in 2022 that nearly 800,000 people suffer from TBI in Pakistan, out of which nearly 60,000 to 70,000 people suffer from significant morbidity and mortality leading to long-term disability, morbidity, and mortality.…”

Section: Introductionmentioning

confidence: 99%

Early Tracheostomy versus Late Tracheostomy in Patients with Moderate-to-Severe Traumatic Brain Injury

Nadeem,

Fatima,

Farooq

et al. 2024

Asian J Neurosurg

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Objective The aim of this article was to study the impact of early versus late tracheostomy on clinical outcomes of moderate-to-severe traumatic brain injury (TBI). Materials and Methods A retrospective cross-sectional study was conducted in the Neurosurgery Department, Mayo Hospital, Lahore, in which a sample size of 50 cases was calculated over a period of 6 months from January 1, 2022, to June 30, 2022. The included cases were patients who suffered from moderate-to-severe TBI, isolated TBI, needed elective ventilation, required intensive care unit (ICU) admission during their hospital stay, and were between the ages of 18 and 65 years. All the rest were excluded. A structured proforma was used by the physician to collect data after the informed consent of the patient. The results were computed and analyzed statistically using Statistical Package for Social Sciences, version 26. Results The median age of patients was 40 (interquartile [IQ] range 34) years and were predominantly male (72%). The most common mode of injury was road traffic accidents (58%). The median Glasgow Coma Scale (GCS) score at arrival was 8 (IQ range 6) and the most common pupillary light reflex at presentation was bilaterally equally responsive to light (68%). Neurologic deficits were mostly absent or cannot be assessed on presentation (86%) and in 38% of the cases multiple findings were noted on computed tomography (CT) scan while among single findings seen on CT scan, subdural hematoma was the most common (22%). Multiple regression analysis was done through two separate models using age, gender, mode of injury, presenting GCS score, number of CT-scan findings, number of days after endotracheal intubation after which tracheostomy was done, and the timing of tracheostomy (early vs. late) as predictors, and a significant relationship was noted between the timing of tracheostomy (early vs. late) and GCS at discharge (p = 0.001) as well as extended Glasgow Outcome Score (GOS) at discharge (p = 0.013). Conclusion This study suggests that moderate-to-severe TBIs are most common in middle-aged males and mostly involve road traffic accidents. In most cases, multiple CT-scan findings are seen as compared with a single predominant finding. In such patients, early tracheostomy is superior to late tracheostomy as it results in significantly better GCS and GOS scores at discharge as well as a decreased duration of mechanical ventilation and ICU stay.

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Post-traumatic fibrous dysplasia of the parietal bone: A rare entity

Cited by 7 publications

References 29 publications

Delayed Posttraumatic Blepharocele: A Rare Case Report with Review of the Literature

Delayed Posttraumatic Blepharocele: A Rare Case Report with Review of the Literature

Comprehensive management of malocclusion in maxillary fibrous dysplasia: A case report

Early Tracheostomy versus Late Tracheostomy in Patients with Moderate-to-Severe Traumatic Brain Injury

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