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Fibrous dysplasia and ossifying fibroma of the paranasal sinuses

Published online by Cambridge University Press:  29 June 2007

D. J. Commins ,
N. S. Tolley  and
C. A. Milford
D. J. Commins*
Affiliation:
Departments of Otolaryngology, Radcliffe Infirmary, London, UK.
N. S. Tolley
Affiliation:
Departments of Otolaryngology, Oxford and St Mary's Hospital, London, UK.
C. A. Milford
Affiliation:
Departments of Otolaryngology, Radcliffe Infirmary, London, UK.
*
Address for correspondence: Mr D. J. Commins, 110 Fairacres Road, Oxford OX4 1TG
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Abstract

Fibro-osseous lesions involving the paranasal sinuses, the mid-face and anterior skull base are uncommon. In addition, there appears to be no clear pathological or clinical classification that embraces the variety of lesions that exhibit such diverse pathological and clinical behaviour, yet may still be referred to as a fibro-osseous lesion. The diagnosis of fibrous dysplasia and ossifying fibroma is made on a combination of clinical, radiological and pathological criteria.

This paper emphasizes the clinical and pathological differences between fibrous dysplasia and ossifying fibroma. The more aggressive clinical behaviour of the latter is highlighted and a more radical surgical approach i s recommended. In contradistinction, fibrous dysplasia can exhibit a more benign behaviour and radical surgery s i not always justified.

A clinicopathological distinction between these two conditions is important from a management perspective despite the fact that they both may be encompassed under the ‘umbrella’ term fibro-osseous lesion.

Keywords

Fibrous dysplasia of boneOssifying fibroma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 10 , October 1998 , pp. 964 - 968
Copyright
Copyright © JLO (1984) Limited 1998

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