Mahalingam Gayathri, Manoharan G V Murali Gopika
Postgraduate Student, Department of Oral Medicine and Radiology, Tamil Nadu Government Dental College and Hospital , Chennai, Tamil Nadu, India .
Professor, Department of Oral Medicine and Radiology, Tamil Nadu Government Dental College and Hospital , Chennai, Tamil Nadu, India .
J Clin Diagn Res. 2017 Jan;11(1):ZD21-ZD24. doi: 10.7860/JCDR/2017/22532.9204. Epub 2017 Jan 1.
Florid osseous dysplasia is a rare benign fibro-osseous multiquadrant dysplastic lesion confined to the alveolar process of jaws, generally asymptomatic and usually detected incidentally during radiologic examination and requires no treatment unless symptomatic or cosmetically concerning. In this article, we present two rare cases of florid osseous dysplasia in Indian women with their clinical, radiographic and histologic findings and a brief review of literature. The first case was asymptomatic and the lesion was detected during routine radiographic examination and required no treatment whereas, the second case presented with features of osteomyelitis. Based on the clinical findings, the case was diagnosed as chronic suppurative osteomyelitis, but, after radiologic examination, diagnosis of florid osseous dysplasia with secondary osteomyelitis was made. Besides diagnostic challenge, management of the lesion is difficult due to poor vascularity. In our case, antibiotic prophylaxis along with surgical debridement and sequestrectomy was done with regular recall visits.
florid骨发育异常是一种罕见的良性纤维-骨多象限发育异常病变，局限于颌骨牙槽突，通常无症状，通常在影像学检查时偶然发现，除非有症状或影响美观，否则无需治疗。在本文中，我们报告了两例印度女性的罕见 florid骨发育异常病例，包括其临床、影像学和组织学表现，并对文献进行简要回顾。第一例无症状，病变在常规影像学检查时发现，无需治疗；而第二例表现为骨髓炎特征。根据临床表现，该病例最初诊断为慢性化脓性骨髓炎，但经影像学检查后，诊断为 florid骨发育异常继发骨髓炎。除了诊断挑战外，由于血管供应差，该病变的治疗也很困难。在我们的病例中，进行了抗生素预防、手术清创和死骨切除术，并定期复诊。
