Long-Term Results of Fibrous Dysplasia of the Paranasal Sinuses.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
01 10 2022
Historique:
received: 31 01 2022
accepted: 07 02 2022
pubmed: 4 3 2022
medline: 12 10 2022
entrez: 3 3 2022
Statut: ppublish

Résumé

Fibrous dysplasia (FD) is a benign, idiopathic skeletal disorder, in which the normal bone and marrow are replaced by fibrous tissue and immature woven bone. The authors aim to analyze the long-term results of patients diagnosed with FD of the paranasal sinuses via imaging or surgical biopsy. The authors retrospectively enrolled 21 patients with FD of the paranasal sinuses from 2006 to 2021. The mean age at the time of diagnosis of FD of the paranasal sinuses was very high at 45.9 years. The most common site ofoccurrence was the sphenoid sinus (71.4%). During the mean follow-up period of 52.8 months, there was no significant change in the size of FD of the paranasal sinuses, and there was no worsening of symptoms or complications. Endoscopic sinus surgery was performed in 16 patients (76.2%), of which 13 underwent only biopsy and 3 underwent partial resection. The most common site of FD of the paranasal sinuses was the sphenoid sinus, and the age at diagnosis was higher thanthat of patients with FD at other sites. Observation with serial radiologic examinations is recommended for asymptomatic FD of the para-nasal sinuses.

Identifiants

pubmed: 35240670
doi: 10.1097/SCS.0000000000008601
pii: 00001665-202210000-00087
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e699-e701

Informations de copyright

Copyright © 2022 by Mutaz B. Habal, MD.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

Références

Schreiber A, Villaret AB, Maroldi R, et al. Fibrous dysplasia of the sinonasal tract and adjacent skull base. Curr Opin Otolaryngol Head Neck Surg 2012;20:45–52
Lee JS, FitzGibbon EJ, Chen YR, et al. Clinical guidelines for the management of craniofacial fibrous dysplasia. Orphanet J Rare Dis 2012;7 Suppl 1:S2
Ooi EH, Glicksman JT, Vescan AD, et al. An alternative management approach to paranasal sinus fibro-osseous lesions. Int Forum Allergy Rhinol 2011;1:55–63
Eller R, Sillers M. Common fibro-osseous lesions of the paranasal sinuses. Otolaryngol Clin North Am 2006;39:585–600
Efune G, Perez CL, Tong L, et al. Paranasal sinus and skull base fibroosseous lesions: when is biopsy indicated for diagnosis? Int Forum Allergy Rhinol 2012;2:160–165
Lee JJ, Ryu G, Lee KE, et al. Long-term clinical course of benign fibro-osseous lesions in the paranasal sinuses. Clin Exp Otorhinolaryngol 2021;14:374–381
Dong D, Wang Y, Li C, et al. Fibro-osseous lesions of paranasal sinus and craniofacial region: a retrospective study of 282 cases. Laryngoscope 2021;131:E1–E7
Lei P, Bai H, Wang Y, et al. Surgical treatment of skull fibrous dysplasia. Surg Neurol 2009;72 Suppl 1:S17–20

Auteurs

Dong Hoon Lee (DH)

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital, Hwasun, South Korea.

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Classifications MeSH