Fronto-ethmoidal fibrous dysplasia: a case-report
Hoareau-Gruchet, F.; Nils, M.; Spinato, L.; Rabeyrin, M.; Righini, C.A.
Revue de Laryngologie - Otologie - Rhinologie 133(2): 105-108
2012
ISSN/ISBN: 0035-1334 PMID: 23393747 Document Number: 657154
Fibrous dysplasia is a congenital bone disease, where normal bone is replaced by a fibrous-like tissue with immature osteogenesis. The cephalic extremity is affected in one out of three cases. The aim of this study was to describe a case of fibrous dysplasia and review workup and management of this pathology. We reviewed relevant publications using the Medline database and presented a case of isolated paranasal sinus fibrous dysplasia to illustrate this disease. The clinical onset was headache and left palpebral oedema in a twelve-year old. Imaging showed a left fronto-ethmoidal bone lesion with epidural empyema. No other radiological anomaly or phosphor-calcic disorder was present. The clinical course was positive using intravenous antibiotics, with a two-year follow-up. Fibrous dysplasia is diagnosed using CT-scan, without the need for histologic confirmation in most cases. Initial workup includes axial skeleton X-rays and hormonal dosages. The efficiency of biphosphonates drugs has significally reduced the number of surgical procedures. Fibrous dysplasia is often a multifocal disease and should be treated medically first. Management requires a multi-disciplinary team.