Etmoid sinüste fibröz displazi: Olgu sunumu
Fibröz displazi (FD) iskelette tek ya da birden fazla kemik tutulumu ile seyreden benign bir fibroosseöz lezyondur. Benign bir tümör olmasına karşın, malign transformasyon potansiyeli mevcuttur. Baş boyun bölgesinde en sık maksilla, mandibula, parietal, oksipital ve temporal bölgeler tutulurken, etmoid kemik tutulumu oldukça nadirdir. Bu makalede, sağ göz etrafında ağrı, her iki göz arasında asimetri ve çift görme şikayeti nedeniyle çekilen paranazal bilgisayarlı tomografisinde sağ etmoid hücrelerde lamina papriseayı destrükte eden kitlesi olan, sağ etmoid sinüste FD tanısı alan 18 yaşında erkek hasta sunuldu.
Fibrous dysplasia of ethmoid sinus: A case report
Fibrous dysplasia (FD) is a benign fibroosseous lesion that may progress a single or multiple bones involvement. Although it is a benign tumor, it has available malignant transformation potential. While mostly maxilla, mandible, parietal, occipital, and temporal region are stiffed in the head and neck region,the ethmoid bone involvement is very rare. This article presents an 18-year old patient who was diagnosed with fibrous dysplasia in right ethmoid sinus and had a mass in right ethmoid cells destructing lamina papyracea, which was detected in paranasal computerized tomography obtained due to complaints of pain around right eye, asymmetry between both eyes and diplopia.
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- 1. Kim E. Fibrous dysplasia of the clivus. J Korean Neurosurg Soc 2010; 48: 441-4.
- 2. Megerian CA, Sofferman RA, McKenna MJ. Fibrous dysplasia of the temporal bone: ten new cases demonstrating the spectrum of otologic sequelae. Am J Otol 1995; 16: 408-19.
- 3. Lichtenstein L. Polyostotic fibrous dysplasia. Arch Surg 1938; 36: 874-98.
- 4. Özbek C, Aygenç E, Fidan F, Ünsal E, Özdem C. Fibrous dysplasia of the temporal bone. Ann Otol Rhinol Laryngol 2003; 112: 654-6.
- 5. Chen YR, Chang CN, Tan YC. Craniofacial fibrous dysplasia: an update. Chang Gung Med J 2006; 29: 543-9.
- 6. Tsai TL, Ho CY, Guo YC, Chen W, Lin CZ. Fibrous dysplasia of the ethmoid sinus. J Chin Med Assoc 2003; 66: 131-3.
- 7. Mehta D, Clifton N, McClelland L, Jones NS. Pediatric fibro- osseous lesions of the nose and paranasal sinuses. Int J Pediatr Otorhinolaryngol 2006; 70: 193-69.
- 8. Demirdöver C, Sahin B, Ozkan HS, Durmuş EU, Oztan HY. Isolated fibrous dysplasia of the zygomatic bone. J Craniofac Surg 2010; 21: 1583-4.
- 9. Engelbrecht V, Preis S, Hassler W, Lenard HG. CT and MRI of congenital sinonasal ossifying fibroma. Neuroradiology 1999; 41: 526-9.
- 10. Jia S, Yu J, Zhang D et al. Expression and regulation of amp- hiregulin in Gsα-mutated human bone marrow stromal cells of fibrous dysplasia of mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 618-26.
- 11. Rojas R, Palacios E, Kaplan J, Wong LK. Fibrous dysplasia of the frontal sinus. Ear Nose Throat J 2004; 83: 14-5.
- 12. Lustig LR, Holliday MJ, McCarthy EF, Nager GT. Fibrous dysplasia involving the skull base and temporal bone. Arch Otolaryngol Head Neck Surg 2001; 127: 1239-47.