Baş-boyun bölgesi fibröz displazileri: Üç olgu sunumu

Fibröz displazi, kemik gelifliminde meydana gelen ve tek ya da çok sayıda kemiği tutabilen benign bir tü- mördür. Bafl-boyun bölgesinde genellikle maksilla ve mandibula tutulumu görülür. Temporal kemik tutulu- mu nadirdir. Bu yazıda fibröz displazili üç olgu sunul- du. Bir olguda temporal kemik kadın, 35 yafl , ikisin- de erkek, 17 yafl; kadın, 20 yafl maksiller kemik tu- tulumu belirlendi. Temporal kemik tutulumu olan ol- guya mastoidektomi yapıldı, maksiller kemik tutulu- mu olan olguların ikisine de lateral rinotomi ile kitle eksizyonu yapıldı. Olguların uzun dönemli izlemleri sırasında hiçbirinde nüks görülmedi

Fibrous dysplasia in the head and neck region: a report of three cases

Fibrous dysplasia is a benign process in which bone expands due to abnormal development of fibrous tissue. Involvement of single or multiple bones may occur.Common sites of involvement in the head and neck region are the maxilla and the mandible. Temporal bone involvement is rare. We report three patients with fibrous dysplasia, in whom the temporal bone female, age 35 years and the maxilla male, age 17 years; female, age 20 years were affected. The former underwent mastoidectomy, while the latter two patients undervvent mass excision with lateral rhinotomy. No recurrences were detected within long-term follow-ups.

___

  • Inanli S, Tutkun A, Ozer E, Cakalagaoglu F, Batman C, Uneri C et al. Fibrous dysplasia in the head and neck. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2000;7:75-9.
  • Smouha EE, Edelstein DR, Parisier SC. Fibrous dyspla- sia involving the temporal bone: report of three new cases. Am J Otol 1987;8:103-7.
  • Tran LP, Grundfast KM, Selesnick SH. Benign lesions of the external auditory canal. Otolaryngol Clin North Am 1996;29:807-25.
  • Delap TG, Kaberos A, Dowling P, Rees J, Golding- Wood D. Cranio-facial fibro-osseous dysplasia. A case report and overview of the management of the condi- tion. Int J Pediatr Otorhinolaryngol 1996;37:179-91.
  • Lustig LR, Holliday MJ, McCarthy EF, Nager GT. Fibrous dysplasia involving the skull base and tempo- ral bone. Arch Otolaryngol Head Neck Surg 2001;127:1239-47.
  • Pollandt K, Engels C, Werner M, Delling G. Fibröse Dysplasie. Pathologe 2002;23:351-6.
  • Arshad N, Kapala JT. Monostotic fibrous dysplasia in an eight year old male: report of case. ASDC J Dent Child 1995;62:145-7.
  • Cohen MM Jr, Howell RE. Etiology of fibrous dyspla- sia and McCune-Albright syndrome. Int J Oral Maxillofac Surg 1999;28:366-71.
  • Brown EW, Megerian CA, McKenna MJ, Weber A. Fibrous dysplasia of the temporal bone: imaging find- ings. AJR Am J Roentgenol 1995;164:679-82.
  • Falcioni M, De Donato G. Fibrous dysplasia of the tem- poral bone. Am J Otol 2000;21:887-8.
  • Ruggieri P, Sim FH, Bond JR, Unni KK. Malignancies in fibrous dysplasia. Cancer 1994;73:1411-24.
  • Nadol JB Jr, Merchant SN. Systemic disease manifesta- tions in the middle ear and temporal bone. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, R i c h a rdson MA, Schuller DE, editors. Otolaryngology head & neck surg e r y. Vol. 4, 3rd ed. Missouri: Mosby- Year Book; 1998. p. 3088-107.
  • Ozek C, Gundogan H, Bilkay U, Tokat C, Gurler T, Songur E. Craniomaxillofacial fibrous dysplasia. J Craniofac Surg 2002;13:382-9.
  • Zenn MR, Zuniga J. Treatment of fibrous dysplasia of the mandible with radical excision and immediate re c o n- s t ruction: case report. J Craniofac Surg 2001;12:259-63.