Craniofacial polyostotic fibrous dysplasia: a case report and review of the literature.
Craniofacial fibrous dysplasia is 1 of 3 types of fibrous dysplasia that can affect the bones of the craniofacial complex, including the mandible and maxilla. A 49-year-old white male presented with an extensive previous medical history. Initial radiographic assessment comprised panoramic and PA cephalometric radiographs and provided a working diagnosis of fibrous dysplasia. Advanced imaging included conventional CT, cone beam CT, and MRI. Three areas in the craniofacial complex were diagnosed as FD. The patient also presented with severe degenerative joint disease of the left TMJ. In this case, all FD lesions were radiopaque and presented with ground glass appearance. The relative importance of each imaging modality in the diagnosis and assessment of FD is discussed.
Abdelkarim
Ahmad
A
Department of Dental Diagnostic Science, Dental School, the University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA. ahmadozbrain@yahoo.com
Green
Ryan
R
Startzell
James
J
Preece
John
J
D054893:Cone-Beam Computed Tomography; D005359:Fibrous Dysplasia, Polyostotic / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008336:Mandibular Diseases / Q000473:pathology*; D008875:Middle Aged; D011862:Radiography, Panoramic; D019291:Skull Base / Q000473:pathology; D013701:Temporal Bone / Q000473:pathology; D013705:Temporomandibular Joint Disorders / Q000473:pathology*; D014057:Tomography, X-Ray Computed