Korean J Otorhinolaryngol-Head Neck Surg.  2016 Jun;59(6):475-478. 10.3342/kjorl-hns.2016.59.6.475.

Nasal Obstruction due to Fibrous Dysplasia Invading Inferior and Middle Turbinates: A Case Report and Literature Review

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
  • 2Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea. ENTMAN@yuhs.ac
  • 3The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Fibrous dysplasia (FD) is a rare type of fibro-osseous lesion characterized by progressive replacement of normal bone with immature tissue. The involvement of craniofacial bones is reported in 10% of FD cases, while the involvement of sinonasal cavity is extremely rare. We report a unique case of FD in which the primary complaint was nasal obstruction. As FD cases involving the turbinate bones are very rare, we also reviewed all reported cases of FD involving the inferior or middle turbinates. Based on our experience and a review of the relevant literature, we conclude that inferior and/or middle turbinectomy via endoscopic approach and septoplasty can improve nasal symptoms.

Keyword

Endoscopic sinus surgery; Fibrous dysplasia; Sinonasal neoplasm

MeSH Terms

Nasal Obstruction*
Turbinates*
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