Maxillofacial Plastic and Reconstructive Surgery

  • Volume 42
  • /
  • Pages.31.1-31.7
  • /
  • 2020
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

An unusual presentation of non-specific cystic degeneration of craniofacial fibrous dysplasia: a case report and review of literature

  • Hong, Inseok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Kang, Dong Cheol (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital) ;
  • Ko, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University Dental Hospital)
  • Received : 2020.02.04
  • Accepted : 2020.08.30
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Fibrous dysplasia (FD) is a rare, sporadic, and benign congenital condition in which normal cancellous bone is replaced by fibro-osseous tissue with immature osteogenesis. FD localized in the cranial and facial bones is called craniofacial fibrous dysplasia (CFD). Cystic degeneration in CFD cases is rare; cystic degeneration appearing in both the maxilla and the mandible FD lesion is even rarer. The aim of this article was to report a case of fibrous dysplasia of the mandible and maxilla complicated by nonspecific cystic degeneration. Case presentation: A 30-year-old woman presented with a rare case of non-specific cystic degeneration in a mandible and maxilla FD lesion that occurred 11 years after surgery. She was diagnosed with polyostotic CFD and underwent maxillary and mandibular bone contouring. Cyst enucleation under general anesthesia was performed in the mandibular region due to pain and discomfort. Conclusions: In cases involving non-aggressive and non-invasive FD cystic degeneration in focal areas, conservative treatment is recommended. However, if cystic degeneration of FD develops rapidly and causes discomfort, pain, or dysfunction, surgical treatment should be considered.

Keywords

Acknowledgement

We would like to thank Editage (www.editage.co.kr) for English language editing.

References

  1. Menon S, Venkatswamy S, Ramu V, Banu K, Ehtaih S, Kashyap VM (2013) Craniofacial fibrous dysplasia: surgery and literature review. Ann Maxillofac Surg 3:66-71. https://doi.org/10.4103/2231-0746.110088
  2. Weinstein LS, Chen M, Liu J (2002) Gs(alpha) mutations and imprinting defects in human disease. Ann N Y Acad Sci 968:173-197. https://doi.org/10.1111/j.1749-6632.2002.tb04335.x
  3. Feller L, Wood NH, Khammissa RA, Lemmer J, Raubenheimer EJ (2009) The nature of fibrous dysplasia. Head Face Med 5:22. https://doi.org/10.1186/1746-160X-5-22
  4. Panda NK, Parida PK, Sharma R, Jain A, Bapuraj JR (2007) A clinicoradiologic analysis of symptomatic craniofacial fibro-osseous lesions. Otolaryngol Head Neck Surg 136:928-933. https://doi.org/10.1016/j.otohns.2007.01.031
  5. Lustig LR, Holliday MJ, McCarthy EF, Nager GT (2001) Fibrous dysplasia involving the skull base and temporal bone. Arch Otolaryngol Head Neck Surg 127:1239-1247. https://doi.org/10.1001/archotol.127.10.1239
  6. Ferretti C, Coleman H, Dent M, Altini M (1999) Cystic degeneration in fibrous dysplasia of the jaws: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:337-342. https://doi.org/10.1016/s1079-2104(99)70039-9
  7. Muraoka H, Ishihara A, Kumagai J (2001) Fibrous dysplasia with cystic appearance in maxillary sinus. Auris Nasus Larynx 28:103-105. https://doi.org/10.1016/s0385-8146(00)00077-8
  8. Diah E, Morris DE, Lo LJ, Chen YR (2007) Cyst degeneration in craniofacial fibrous dysplasia: clinical presentation and management. J Neurosurg 107: 504-508. https://doi.org/10.3171/JNS-07/09/0504
  9. Nadaf A, Radhika M, Paremala K, Srinath N (2013) Monostostic fibrous dysplasia with nonspecific cystic degeneration: a case report and review of literature. J Oral Maxillofac Pathol 17:274-280. https://doi.org/10.4103/0973-029X.119765
  10. Oostenbroek-Bisschop JSLI, Verweij JP, van Merkesteyn JPR (2016) Custom made replacement of the mandibular condyle in a case of fibrous dysplasia with cystic degeneration: a case report. Dent J (Basel) 4:42. https://doi.org/10.3390/dj4040042
  11. Saxena RK, Varshney S, Singh J, Kaushal A, Bishnu PP (2001) Haemorrhagic cystic sino-nasal fibrous dysplasia. Indian J Otolaryngol Head Neck Surg 53: 154-157. https://doi.org/10.1007/BF02991515
  12. Holl DC, Hardillo JAU, Dammers R, van der Schroeff MP, van der Lugt A (2018) Cystic degeneration of craniofacial fibrous dysplasia. World Neurosurg 120:159-162. https://doi.org/10.1016/j.wneu.2018.08.175
  13. Prado Ribeiro AC, Carlos R, Speight PM, Hunter KD, Santos-Silva AR, de Almeida OP, Vargas PA (2012) Peritrabecular clefting in fibrous dysplasia of the jaws: an important histopathologic feature for differentiating fibrous dysplasia from central ossifying fibroma. Oral Surg Oral Med Oral Pathol Oral Radiol 114:503-508. https://doi.org/10.1016/j.oooo.2012.06.014
  14. Bavle RM (2014) Mitosis at a glance. J Oral Maxillofac Pathol 18:S2-S5. https://doi.org/10.4103/0973-029X.141175
  15. Matsuda Y, Aida J, Ishikawa N, Takubo K, Ishiwata T, Arai T (2017) Morphological markers of chromosomal instability. In: Larramendy ML and Soloneski S (ed) Chromosomal abnormalities - A hallmark manifestation of genomic instability. InTech, Croatia, p17-25. doi:https://doi.org/10.5772/67416
  16. Papadopoulos MC, Casey AT, Powell M (1998) Craniofacial fibrous dysplasia complicated by acute, reversible visual loss: report of two cases. Br J Neurosurg 12:159-161. https://doi.org/10.1080/02688699845320
  17. Li P, Zhang ZR, Jiang Y, Xia XD, Wang D, Li XF (2009) MR and CT findings of cyst degeneration of sphenoid bone in McCune-Albright syndrome: a case report. Cases J 2:9376. https://doi.org/10.1186/1757-1626-2-9376
  18. Bahk WJ, Kang YK, Rhee SK, Chung YG, Lee AH, Bahk YW (2007) Cystic fibrous dysplasia in the long bone. Orthopedics 30:871-873. https://doi.org/10.3928/01477447-20071001-05
  19. Gupta A, Mehta VS, Sarkar C (2003) Large cystic fibrous dysplasia of the temporal bone: case report and review of literature. J Clin Neurosci 10:364-367. https://doi.org/10.1016/s0967-5868(03)00032-8
  20. Slow IN, Friedman EW (1971) Osteogenic sarcoma arising in a preexisting fibrous dysplasia: report of case. J Oral Surg 29(2):126-129
  21. Ruggieri P, Sim FH, Bond JR, Unni KK (1994) Malignancies in fibrous dysplasia. Cancer 73:1411-1424. https://doi.org/10.1002/1097-0142(19940301)73:5<1411::aid-cncr2820730516>3.0.co;2-t
  22. Okada K, Yoshida S, Okane K, Sageshima M (2000) Cystic fibrous dysplasia mimicking giant cell tumor: MRI appearance. Skelet Radiol 29:45-48. https://doi.org/10.1007/s002560050008
  23. De Iure F, Campanacci L (1995) Clinical and radiographic progression of fibrous dysplasia: cystic change or sarcoma? Description of a clinical case and review of the literature. Chir Organi Mov 80:85-89
  24. Udayakumar SIV, Paeng JY, Choi SY, Shin HI, Lee ST, Kwon TG (2018) Orthognathic surgery for patients with fibrous dysplasia involved with dentition. Maxillofac Plast Reconstr Surg 40:37. https://doi.org/10.1186/s40902-018-0176-y
  25. Kang M, Jee YJ, Lee DW, Jung SP, Kim SW, Yang S, Ryu DM (2018) Midfacial degloving approach for management of the maxillary fibrous dysplasia: a case report. Maxillofac Plast Reconstr Surg 40:38. https://doi.org/10.1186/s40902-018-0177-x
  26. Bowers CA, Altay T, Shah L, Couldwell WT (2012) Pregnancy-induced cystic degeneration of fibrous dysplasia. Can J Neurol Sci 39:828-829. https://doi.org/10.1017/s0317167100015687