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Pan Afr Med J ; 38: 385, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34381529

RESUMO

Fibrous dysplasia is a genetic and rare bone disorder affecting the young subject. Its pathophysiology involves genetic mutations leading to defective skeletal development with fibrous and medullary proliferations. Cephalic extremity is involved in one third of cases. We here report a case of surgically treated fibrous dysplasia of the frontal and ethmoid sinuses. The study involved a 31-year-old man presenting with chronic holocranial headaches. Computed tomography (CT) scan showed voluminous bilateral hyperdense expansive process in the frontal and ethmoid sinuses. Surgery was performed on the basis of functional signs and imaging data. Anatomopathological examination of bone fragments confirmed the diagnosis of fibrous dysplasia. Fibrous dysplasia is rare and characterized by slow disease progression. In the absence of a consensus on therapy, surgery remains the treatment of choice for unifocal forms.


Assuntos
Seio Etmoidal/diagnóstico por imagem , Displasia Fibrosa Óssea/diagnóstico por imagem , Seio Frontal/diagnóstico por imagem , Adulto , Seio Etmoidal/patologia , Seio Etmoidal/cirurgia , Displasia Fibrosa Óssea/patologia , Displasia Fibrosa Óssea/cirurgia , Seio Frontal/patologia , Seio Frontal/cirurgia , Cefaleia/etiologia , Humanos , Masculino , Tomografia Computadorizada por Raios X
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