Fibrous Dysplasia of the Frontal Sinus Presenting with Periorbital Emphysema

Author Info

Christina Stevens Emily S. Misch Anne Getz Eric Hink Adam Terella

Corresponding Author

Emily S. Misch
Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA

A B S T R A C T

Fibrous dysplasia (FD) is an uncommon non-malignant bony tumor in which normal bone is replaced by disorganized fibro-osseous tissue. It most often involves the femur, ribs, and craniofacial skeleton and is commonly diagnosed in adolescence or early adulthood. Involvement of the paranasal sinuses is rare, and there is a relative paucity of case reports in the literature. Here, we report a case of FD of the frontal sinus in a 22-year-old male initially presenting with acute onset periorbital emphysema after nose-blowing. Radiographic examination revealed an expansile lesion with “ground-glass” appearance. The patient underwent resection and reconstruction by combined endoscopic and external approach with osteoplastic flap by a multidisciplinary team. The diagnosis of FD was confirmed by permanent histopathology. This report reviews the presentation and treatment of FD of the paranasal sinuses and details a combined external and endoscopic approach to resection of the frontal sinus mass.

Article Info

Article Type

Case Report

Publication history

Received: Mon 15, Feb 2021
Accepted: Mon 01, Mar 2021
Published: Wed 17, Mar 2021

Copyright

© 2023 Emily S. Misch. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.03.10