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Bahan Pada Maxilla Fulltext - smjcr-v2-1025 PDF
Bahan Pada Maxilla Fulltext - smjcr-v2-1025 PDF
Received date: Mar 24, 2016 Fibrous dysplasia is a condition characterized by excessive proliferation of bone-forming mesenchymal cells.
Accepted date: Apr 29, 2016 It can affect one bone (monostotic type) or multiple bones (polyostotic type). It is usually observed in adolescents
and young adults and comprises 7% of benign bone tumors. The etiology is not clear but genetic predisposition
Published date: May 02, 2016 is suspected. It has a predilection for long bones as well as the craniofacial skeleton. The maxilla is the most
commonly affected facial bone, with facial asymmetry being the usual complaint. The diagnosis is based on
*Corresponding author radiological and histopathological examination. There are different treatment approaches including monitoring,
medical treatment or surgery. A 45-year-old female reported with a complaint of painless swelling on the left side
Deepa Jatti, Department of Oral of maxilla since 1 year. A diffuse intraoral bony hard, non tender swelling was seen in the left maxilla involving
Medicine, Diagnosis and Radiology, the premolar-molar region. Plain film radiographs and Computed tomography revealed ground glass appearance
Swami Devi Dyal Dental College of the left maxilla. The lesion was excised and on histopathology showed features of fibrous dysplasia. Very few
cases of Fibrous dysplasia manifesting in the older and postmenopausal age group are reported in the literature.
and Hospital Golpura, India, Email: Once diagnosed, routine follow-up should be done on a yearly basis with x-ray examination.
iafdeepa@gmail.com
OPEN ACCESS How to cite this article Deepa JP, Samriddhi S, Puri G, Aravinda K, Dixit A, Gupta R, et al. Monostotic
Fibrous Dysplasia of Maxilla in a Postmenopausal Female- A Rare Case Report with Review of Literature.
ISSN: 2473-0688 SM J Case Rep. 2016; 2(2): 1025.
SMGr up Copyright Deepa JP
Figure 1: Intra-oral swelling extending from 23to 27 with buccal cortical CT scan of the lesion revealed ill defined expansible lesion causing
plate expansion. medial-lateral widening of alveolar process of maxilla on left side
(Figure 4). The lesion caused increased density of bone with ground
glass appearance with thinning of the overlying cortex. There was no
evidence of extension of the lesion into the left maxillary sinus and its
shape and size was maintained.
Blood & Biochemical investigations showed alkaline phosphates
46.2 IU/l, Serum Calcium 9.8 mg% & Serum Phosphorus 3.1 mg%
which were with-in normal range. A bone biopsy was performed from
the left premolar region and the specimen sent for histopathological
examination. The reports showed presence of trabeculae of
demineralised bone arranged in a Chinese letter pattern. The bone
trabeculae were lined by osteoblasts and showed the presence of
resting lines. The marrow spaces in between were hypocellular with
few chronic inflammatory cells in a fibrous connective tissue stroma
Figure 2: Intra-oral periapical radiograph demonstrating ground glass (Figure 5).
appearance and loss of lamina dura.
Based on the clinical, radiological and histo-pathological findings
a final diagnosis of Monostotic fibrous dysplasia was given. Surgical
recontouring was done under local anesthesia in the department of
Oral and Maxillofacial Surgery. The patient is under follow-up since
six months with no recurrence.
Citation: Deepa JP, Samriddhi S, Puri G, Aravinda K, Dixit A, Gupta R, et al. Monostotic Fibrous
Dysplasia of Maxilla in a Postmenopausal Female- A Rare Case Report with Review of Literature.
SM J Case Rep. 2016; 2(2): 1025. Page 2/5
SMGr up Copyright Deepa JP
Citation: Deepa JP, Samriddhi S, Puri G, Aravinda K, Dixit A, Gupta R, et al. Monostotic Fibrous
Dysplasia of Maxilla in a Postmenopausal Female- A Rare Case Report with Review of Literature.
SM J Case Rep. 2016; 2(2): 1025. Page 3/5
SMGr up Copyright Deepa JP
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treatment of CFD, surgical therapy remains the mainstay of therapy Dysplasia in an elderly patient, with a brief review of literature of Monostotic
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Citation: Deepa JP, Samriddhi S, Puri G, Aravinda K, Dixit A, Gupta R, et al. Monostotic Fibrous
Dysplasia of Maxilla in a Postmenopausal Female- A Rare Case Report with Review of Literature.
SM J Case Rep. 2016; 2(2): 1025. Page 4/5
SMGr up Copyright Deepa JP
22. Neyaz Z, Gadodia A, Gamanagatti S, Mukhopadhyay S. Radiographical 25. Regezzi JA, Sciubba JJ, Jordan RCK. Oral Pathology- Clinical Pathologic
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Citation: Deepa JP, Samriddhi S, Puri G, Aravinda K, Dixit A, Gupta R, et al. Monostotic Fibrous
Dysplasia of Maxilla in a Postmenopausal Female- A Rare Case Report with Review of Literature.
SM J Case Rep. 2016; 2(2): 1025. Page 5/5