부비동을 침범한 섬유성 이형성증

홍성룡; 김시환; 원태빈; 심우섭; 김용민; 김정훈; 이철희; 민양기; 이재서

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자료유형: 학술저널

저자정보: 홍성룡 김시환 원태빈 심우섭 김용민 김정훈 이철희 민양기 이재서

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제4호

발행연도: 2007.1

수록면: 300 - 304 (5page)

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Background and Objectives：Fibrous dysplasia of the paranasal sinus is rare. It is usually secondary to the extension of disease from adjacent bones and rarely limited to the sinuses. The purpose of this study is to get an improved appreciation of the clinical features and courses of fibrous dysplasia involving paranasal sinuses. Subjects and Method：Medical records of 15 patients diagnosed as fibrous dysplasia involving paranasal sinuses from 1990 to 2004 were reviewed retrospectively. Clinical informa-tions including age of diagnosis, presenting symptoms, radiographic findings, treatment and clinical outcome for each patient were analyzed. The male to female ratio was 7：8. Their ages ranged from 7 to 68 with the median of 32. Seven patients were younger than 30 years old at presentation. Results：The mean duration of illness was 1 months. In the findings of CT, eight patients belonged to the sclerotic type, six to the pagetoid type, and one the tocystic type. Eight patients were polyostotic while the others were monostotic. The most commonly involved sinus was the sphenoid sinus followed by ethmoid sinus. Seven patients who had facial swelling, exophthalmos or nasal obstruc-tion underwent surgery, and in four of them, the lesion was in progression or recurred. Lesions in eight patients who were older than 30 years old and had no symptoms except headache did not progress thereafter. Conclusion：The progression of fibrous e patients are diagnosed with fibrous dysplasia over the age of 30 and do not have specific symptoms, there may be no need for surgical treatment. (Korean J Otolaryngol 2007 ;50 :300-4)

#섬유성 이형성증·부비동. #Fibrous dysplasia· Paranasal sinus.

참고문헌 (14)

참고문헌 신청

/ / Fibrous dysplasia of malignant degeneration : 653 ~ 7

/ 1891 / Die Fibrose oder deformierende Ostitis dieOsteomalacie und die osteoplastische Carcinose in ihren gegenseitigenBeziehungen 13

/ 1937 / Osteodystrophia fibrosa:Report of a case inwhich the condition was combined with precocious puberty,multiplepigmentation of the skin and hyperthyroidism 52 : 745 ~ 8

/ 1937 / Syndromes characterizedby osteitis fibrosa disseminata,areas of pigmentation andendocrine dysfunction,with precocious puberty in female 216 : 727 ~ 46

/ 1938 / Polyostotic fibrous dysplasia 36 : 874 ~ 98

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