关键词: Fibrous dysplasia Frontal Hump on the head Parietal

来  源:   DOI:10.25259/SNI_201_2023   PDF(Pubmed)

Abstract:
UNASSIGNED: FD is relatively rare in the craniofacial region, accounting for only 20% of all cases. Currently, two general subtypes of FD are recognized: monostotic and polyostotic. The monostotic form is more frequent, accounting for 75% to 80% of fibrous dysplasia cases.
UNASSIGNED: An 18-year-old male presented with the complaint of bony-hard swelling over the forehead for 8 years. Radiology showed an expansile osseous lesion involving frontal bones. The patient underwent bi-frontal craniectomy with gross total resection of tumour mass with titanium mesh cranioplasty. His postoperative period was uneventful and was discharged on the seventh postoperative day.
UNASSIGNED: The cases of monostotic skull fibrous dysplasia should be treated by resection of the affected bone and cranioplasty. However, a more conservative re-contouring may be carried out in cases with multifocal involvement or when the excision is considered risky due to proximity to the major venous sinuses.
摘要:
FD在颅面区域相对罕见,仅占所有病例的20%。目前,FD的两种一般亚型被认为是单核和多核。单骨形式更常见,占纤维发育不良病例的75%~80%。
一名18岁男性出现额头骨性肿胀8年。放射学显示涉及额骨的扩张性骨性病变。患者接受了双额骨颅骨切除术,并通过钛网颅骨成形术对肿瘤块进行了全面切除。术后顺利,术后第七天出院。
单骨颅骨纤维发育不良的病例应通过切除受影响的骨和颅骨成形术来治疗。然而,在多灶性受累或由于靠近主要静脉窦而认为切除有风险的情况下,可以进行更保守的轮廓重建。
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