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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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References

Albright, F., Butler, M. A., Hampton, A. O., Smith, P. (1937) Syndrome characterized by osteitis fibrosa disseminata, areas of pigmentation and endocrine dysfunction with precocious puberty in females. New England Journal of Medicine 216: 727–746.CrossRefGoogle Scholar
Chen, Y., Fairholm, D. (1985) Fronto-orbito-sphenoidal fibrous dysplasia. Annals of Plastic Surgery 15: 190–203.CrossRefGoogle ScholarPubMed
Edgerton, M. T., Persing, J. A., Jane, J. A. (1986) The surgical treatment of fibrous dysplasia. With emphasis on recent contributions from cranio-maxillo-facial surgery. Annals of Surgery 202: 459–465.CrossRefGoogle Scholar
Fries, J. W. (1957) The roentgen features of fibrous dysplasia of the skull and facial bones. American Journal of Radiology 77: 71.Google ScholarPubMed
Frazer, A. K., Hannah, R. H., Buxton, P. H. (1969) Fibrous dysplasia of the ethmoid presenting with proptosis. British Journal of Surgery 56: 300–305.CrossRefGoogle ScholarPubMed
Harrison, D. F. N. (1984) Osseous and fibro-osseous conditions affecting the craniofacial bones. Annals of Otology, Rhinology and Laryngology 93: 199–203.CrossRefGoogle ScholarPubMed
Lichtenstein, L., Jaffe, H. L. (1942) Fibrous dysplasia of bone. Archives of Pathology and Laboratory Medicine 33: 777–783.Google Scholar
Lund, V. J., Howard, D. J., Wei, W. I., Cheesman, A. D. (1998) Craniofacial resection for tumors of the nasal cavity and paranasal sinuses – a 17-year experience. Head and Neck 20(2): 97–105.3.0.CO;2-Y>CrossRefGoogle Scholar
Makek, M. S. (1987) So called fibro-osseous lesions of tumorous origin. Biology confronts terminology. Journal of Cranio-Maxillary-Facial Surgery 15: 154–168.CrossRefGoogle ScholarPubMed
Margo, C. D., Ragsdale, B. D., Perman, K. I. (1985) Psammomatoid (Juvenile) ossifying fibroma of the orbit. Ophthalmology 92: 150–159.CrossRefGoogle ScholarPubMed
McCune, D. J., Bruch, H. (1937) Osteodystrophia fibrosa; report of a case in which the condition was combined with precocious puberty, pathologic pigmentation of the skin and hyperthyroidism, with a review of the literature. American Journal of Diseases of Children 54: 806–848.CrossRefGoogle Scholar
Menzel, A. (1872) Ein fall von osteofirom des unterkiefers. Archive Kliniese Chirurgie 13: 212–219.Google Scholar
Montgomery, A. H. (1927) Ossifying fibroma of the jaw. Archives of Surgery 15: 30–44.CrossRefGoogle Scholar
Munro, I. R., Chen, Y. R. (1981) Radical treatment for fronto-orbital fibrous dysplasia: the chain-link fence. Plastic Reconstructive Surgery 67: 719.CrossRefGoogle ScholarPubMed
Ricciardelli, E. J., Borrow, J. A., Makielski, K. H. (1992) Three-dimensional computed tomography in a case of craniofacial fibrous dysplasia. Annals of Otology, Rhinology and Laryngology 101: 275–279.CrossRefGoogle Scholar
Schlumberger, H. G. (1946) Fibrous dysplasia of single bones (monostotic fibrous dysplasia). Military Surgery 99: 504–527.CrossRefGoogle ScholarPubMed
Schwartz, D. R., Alpert, M. A. (1964) The malignant transformation of fibrous dysplasia. American Journal of Medical Science 274: 1–20.CrossRefGoogle Scholar
Smith, A. G., Zavaleta, A. (1952) Osteoma, ossifying fibroma and fibrous dysplasia of facial and cranial bones. Archives of Pathology 54: 507–527.Google ScholarPubMed
Yano, M., Tajima, S., Tanaka, Y., Imai, K., Umebayashi, M. (1993) Magnetic resonance imaging findings of craniofacial fibrous dysplasia. Annals of Plastic Surgery 30(4): 371–374.CrossRefGoogle ScholarPubMed