Konik Işınlı Bilgisayarlı Tomografi Bulguları Olan Maksiller Fibröz Displazi: Bir Olgu Sunumu
Fibröz displazi (FD) kemiğin iyi huylu yavaş gelişen bir fibro-osseöz lezyonudur. Normal kemik metabolizmasındaki değişimin sonucu kansellöz kemiğin tüm içeriğinin fibröz dokuyla yer değiştirmesi sonucu gelişir. Elli yaşındaki erkek hasta sağ maksilladaki ağrısız şişlik yakınması ile kliniğimize başvurdu. Ekstraoral muayenede asimetri gözlenen hastanın intraoral muayenesinde sağ maksilla posterior bölgede ağrısız bir şişlik belirlendi. Kemik yapımındaki artış ile birlikte “buzlu cam” olarak adlandırılan radyografik görüntü gözlendi. Bu olgu sunumunun amacı FD tanısı konulan bir hastanın klinik, histopatolojik ve radyografik bulgularını sunmaktır.
Maxillary Fibrous Dysplasia with Cone Beam Computed Tomography Findings: A Case Report
Fibrous dysplasia (FD) is a slowly growing benign skeletal fibro-osseous condition, resulting from a localized change in normal bone metabolism that results in the replacement of all the components of cancellous bone by fibrous tissue. A 50-yr-old male patient with FD attended our clinic with a complaint of swelling in the right maxilla. In extra-oral examination, a significant asymmetry was observed. Intraoral examination revealed a painless swelling at the right maxillary posterior region. Increase in bone formation within the lesion was observed with a radiographic appearance that is referred to as “ground glass”. The aim of this case report was to present clinical, histopathological and radiographic findings of a patient with FD.
___
- Regezi JA, Sciubba JJ, Jordan RK. Oral Pathology. 4 th edt. Saunders Press, USA: 2003.p. 292-4.
- Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 3rd ed. St. Louis: Saunders; 2009.p. 63540.
- Park, BY, Cheon, YW, Kim, YO, Pae, NS, Lee, WJ. Prognosis for craniofacial fibrous dysplasia after incomplete resection: Age and serum alkaline phosphatase. I Int J Oral Maxillofac Surg 2010; 39: 221-6.
- Wei YT, Jiang S, Cen Y. Fibrous dysplasia of skull. J Craniofac Surg 2010; 21: 538-42.
- White SC, Pharoah MJ. Oral radiology. Principles and interpretation. 7 th edt. St Louis, MO: The C.V Mosby Company; 2014.p. 402-8.
- Sontakke SA, Karjodkar FR, Umarji HR. Computed tomographic features of fibrous dysplasia of maxillofacial region. Imaging Sci Dent 2011; 41: 23-8.
- Hanifi B, Samil KS, Yasar C, Cengiz C, Ercan A, Ramazan D. Craniofacial fibrous dysplasia. Clin Imaging 2013; 37: 1109-15.
- Celenk P, Zengin Z, Muglali M, Celenk C. Computed tomography of cranio-facial fibrous dysplasia. European Journalof Radiology Extra 2009; 69: 85-7.
- Jeyaraj CP, Srinivas CV. Craniofacial and monostotic variants of fibrous dysplasia affecting the maxillofacial region. Journal of Oral and Maxillofacial Surgery, Medicine, and Patholog, 2014; 26: 424-31.
- Speight PM, Carlos R. Maxillofacial fibro-osseous lesions. Current Diagnostic Pathology 2006; 12: 1-10.
- MacDonald-Jankowski D. Fibrous dysplasia: a systematic review. Dentomaxillofac Radiol 2009; 38: 196-215.
- Petrikowski CG, Pharoah MJ, Lee L, Grace MG. Radiographic differentiation of osteogenic sarcoma, osteomyelitis, and fibrous dysplasia of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 80: 744-50.
- Hocaoglu E, Yirgin IK, Aksoy S, Arslan G, Inci E, Cimilli T. Computed Tomography Imaging Findings of Craniofacial Fibrous Dysplasia. J Craniofac Surg 2014; 25: 1175-7.