Mallina S, Philip R, Chong A W, Gurdeep S
Department of ENT, Hospital Ipoh, Jalan Hospital, 30990, Ipoh, Perak.
Med J Malaysia. 2007 Jun;62(2):160-1.
Fibrous dysplasia is a benign disease characterized by a progressive replacement of normal bone elements with fibrous tissue and the temporal bone involvement is uncommon. It has a male:female ratio of 2:1 and is seen more commonly in the first two decades of life. Diagnosis is made based on radiological findings and the modality of treatment is mainly conservative. However, surgery is reserved for preserving function and preventing complications. Fibrous dysplasia in the region of craniofacial bones is of particular interest to the otolaryngologist as it causes deformity and dysfunction that can be debilitating. We present a 49 year old Chinese gentleman with complaints of chronic dizziness over the last one year and had no obvious hearing impairment. Computed tomography of the mastoid revealed fibrous dysplasia of the right temporal bone. This case is of particular interest due to the late presentation as it is more commonly seen in the first two decades of life.
骨纤维异常增殖症是一种良性疾病，其特征是正常骨组织逐渐被纤维组织替代，颞骨受累情况并不常见。男女比例为2:1，多见于生命的前二十年。诊断基于影像学检查结果，治疗方式主要是保守治疗。然而，手术是为了保留功能和预防并发症。颅面骨区域的骨纤维异常增殖症对耳鼻喉科医生特别有意义，因为它会导致畸形和功能障碍，可能使人衰弱。我们报告一位49岁的中国男性，他在过去一年中一直抱怨慢性头晕，且无明显听力障碍。乳突计算机断层扫描显示右侧颞骨骨纤维异常增殖症。由于该病例发病较晚，而该病多见于生命的前二十年，所以此病例特别引人关注。
