Abstract
Introduction: Fibrous dysplasia (FD) is a slow growing, benign, idiopathic skeletal disorder. The most common site of involvement is ribs followed by craniofacial bones in which the incidence is 25% to 30%.
Case Report: We report a case of 35 years old female patient with history of swelling left cheek for 10 years with complaints of nasal obstruction, epiphora with facial asymmetry involving left maxillary sinus. The final diagnosis came out to be FD with NLD (nasolacrimal duct obstruction) confirmed by radiological and histopathological examination. The lesion was removed with lateral rhinotomy approach followed by dacryocystorhinostomy for NLD obstruction.
Keywords: Fibrous Dysplasia, Epiphora, NLD, Lateral rhinotomy.
References
- Fusconi M, Conte M, Pagliarella M, et al. Fibrous dysplasia of the maxilla: diagnostic reliability of the study image. Literature review. J Neurol Surg B Skull Base. 2013;74(6):364–368.
- Dua N, Singla N, Arora S, Garg S. Fibrous dysplasia of maxilla: Report of two cases. J Indian Acad Oral Med Radiol [serial online] 2015 [cited 2019 Jul 30];27:472-5.
- Canıtezer G, Gunduz K, Ozden B, Kose HI (2013) Monostotic Fibrous Dysplasia: A Case Report. Dentistry 3: 1667.
- Youssoufian H, Pyeritz R E. Mechanisms and consequences of somatic mosaicism in humans. Nat Rev Genet. 2002;3(10):748–758
- Hajdu S. Philadelphia, PA: Lea & Febiger; 1986. Differential Diagnosis of Soft Tissue and Bone Tumors.
- Kumar R, Madewell J E, Lindell M M, Swischuk L E. Fibrous lesions of bones. Radiographics. 1990;10(2):237–256.
- Anitha N, Sankari SL, Malathi L, Karthick R. Fibrous dysplasia-recent concepts. J Pharm Bioallied Sci. 2015;7(Suppl 1):S171–S172.
- Asik, Mehmet & Polat, Bahtiyar & Durmaz, Abdullah & Uysal, Yusuf. (2015). Fibrous Dysplasia As A Rare Cause of Nasolacrimal Duct Obstruction. Archives of Clinical and Experimental Surgery. 4. 10.5455/aces.20130416044253
- Bhattacharya S, Mishra RK. Fibrous dysplasia and cherubism. Indian J Plast Surg. 2015;48(3):236–248.
- Zodpe P, Chung SW, Kang HJ, Lee SH, Lee HM. Endoscopic treatment of nasolacrimal sac obstruction secondary to fibrous dysplasia of paranasal sinuses. Eur Arch Otorhinolaryngol 2007;264:495-8.
- Fries JW. The roentgen features of fibrous dysplasia of the skull and facial bones; a critical analysis of thirty-nine patholo-gically proved cases. Am J Roentgenol Radium Ther Nucl Med 1957;77:71-88.
- Menon S, Venkatswamy S, Ramu V, Banu K, Ehtaih S, Kashyap VM. Craniofacial fibrous dysplasia: Surgery and literature review. Ann Maxillofac Surg. 2013;3(1): 66–71.
- Yigit O, Samancioglu M, Taskin U, Ceylan S, Eltutar K, Yener M. External and endoscopic dacryocystorhinostomy in chronic dacryocystitis: comparison of results. Eur Arch Otorhinolaryngol 2007;264:879-85.
Corresponding Author
Dr Disha Sharma
Medical Officer Specialist (Otorhinolaryngology) Dr Radhakrishnan Govt. Medical College, Hamirpur, HP
DOI: https://dx.doi.org/10.18535/jmscr/v7i8.29
