关键词: computed tomography craniofacial deformity facial swelling fibrous dysplasia pediatric orthopedics woven bone

来  源:   DOI:10.7759/cureus.59327   PDF(Pubmed)

Abstract:
Fibrous dysplasia (FD) is a rare benign skeletal disorder that replaces normal bone with fibrous tissue and immature woven bone. We present a case of a 13-year-old girl with right-sided facial swelling and craniofacial deformity since birth, accompanied by nasal obstruction and difficulty in breathing and swallowing. Computed tomography (CT) imaging revealed an expansile bony lesion with a ground-glass matrix involving multiple craniofacial bones. Histopathological examination confirmed the diagnosis of FD. Management involved regular monitoring and conservative measures, with surgical intervention reserved for symptomatic progression or cosmetic concerns. This case underscores the importance of considering FD in the differential diagnosis of craniofacial asymmetry and highlights the collaborative approach to patient care. Further research is needed to optimize management strategies and outcomes for pediatric patients with FD.
摘要:
纤维发育不良(FD)是一种罕见的良性骨骼疾病,可以用纤维组织和未成熟的编织骨代替正常骨。我们介绍了一个13岁女孩,自出生以来右侧面部肿胀和颅面畸形,伴有鼻塞和呼吸困难和吞咽困难。计算机断层扫描(CT)成像显示扩张性骨病变,毛玻璃基质涉及多个颅面骨骼。组织病理学检查证实了FD的诊断。管理涉及定期监测和保守措施,保留用于症状进展或美容问题的手术干预。此病例强调了在颅面不对称的鉴别诊断中考虑FD的重要性,并强调了患者护理的协作方法。需要进一步的研究来优化儿科FD患者的管理策略和结果。
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