Azab Mohammed A
Department of Neurosurgery, Cairo University, Cairo, Egypt.
Surg Neurol Int. 2024 Feb 9;15:38. doi: 10.25259/SNI_182_2023. eCollection 2024.
Fibro-osseous lesions include a variety of bone lesions with different clinical and histopathological features.
We report a case of cemento-ossifying lesion involving the left ethmoid and sphenoid sinus in a 17-year-old male patient. Computed tomography showed an expansile hyperdense lesion with sclerosed peripheral mantle epicentered on the left ethmoid and sphenoid sinus and extending into the left nasal cavity. Magnetic resonance imaging was done for preoperative planning. Transnasal endoscopic resection was performed and histopathological examination confirmed the diagnosis of ossifying fibroma (OF).
Involvement of the ethmoid sinus with OF is a rare condition; therefore, we examined the literature for similar cases to highlight the possible clinical presentation and management. Endoscopic management is a safe, effective approach with a low rate of complications.
纤维骨性病变包括多种具有不同临床和组织病理学特征的骨病变。
我们报告一例17岁男性患者的骨化性纤维瘤累及左筛窦和蝶窦。计算机断层扫描显示一个膨胀性高密度病变，其周边有硬化边缘，以左筛窦和蝶窦为中心，延伸至左鼻腔。为进行术前规划，进行了磁共振成像检查。实施了经鼻内镜切除术，组织病理学检查确诊为骨化性纤维瘤（OF）。
筛窦骨化性纤维瘤累及较为罕见；因此，我们查阅文献以寻找类似病例，以突出可能的临床表现和治疗方法。内镜治疗是一种安全、有效的方法，并发症发生率低。
