Presentation
Abstract Patients with severe maxillary hypoplasia secondary to craniofacial dysplasia present a challenge to the craniofacial surgeon. Maxillary distraction presents a promising tool to treat these patients more successfully. [ncbi.nlm.nih.gov]
(18.8% at presentation in this series). [nature.com]
Atypical presentation of craniofacial fibrous dysplasia in an adult. Muller J Med Sci Res 2016;7:133-5 How to cite this URL: Prabhu PB, Hanumappa SM, Raju KV. Atypical presentation of craniofacial fibrous dysplasia in an adult. [mjmsr.net]
[…] as precocious puberty in females 3 4 ; and a craniofacial form (CFD) in which only bones of the craniofacial complex are affected. 5 The majority of patients with CFD present in their second decade; the lesions are generally unilateral and tend to become [jmg.bmj.com]
Entire Body System
- Precocious Puberty
MAS is a rare genetic disorder (about 3% of all FD's) that comprises a triad of polyostotic FD, café-au-lait skin macules, and precocious puberty. [surgicalneurologyint.com]
Introduction: The combination of poly/monostotis fibrous dysplasia, café-au-lait pigmentation of the skin and endocrine hyperfunction (mostly precocious puberty) is known as McCune–Albright syndrome (MAS), a genetic origin syndrome with low incidence. [endocrine-abstracts.org]
The case of a nine year old girl who also exhibits precocious puberty, multiple pigmentation of the skin and hyperthyroidism Am. J. Dis. Child. 1936 Displasia fibrosa craneofacial. A pro - pósito de dos casos [semanticscholar.org]
J., Bruch, H. ( 1937 ) Osteodystrophia fibrosa: report of a case in which the condition was combined with precocious puberty, pathologicpigmentation of the skin and hyperthyroidism, with review of the literature. [cambridge.org]
puberty in females 3 4 ; and a craniofacial form (CFD) in which only bones of the craniofacial complex are affected. 5 The majority of patients with CFD present in their second decade; the lesions are generally unilateral and tend to become static once [jmg.bmj.com]
Eyes
- Visual Impairment
Presentation is usually cosmetic or due to mass effect on cranial structures: cranial asymmetry facial deformity nasal stuffiness proptosis visual impairment/unilateral blindness Refer to fibrous dysplasia article for a discussion of pathology. [radiopaedia.org]
In patients with evidence of visual impairment and optic nerve encasement on imaging, therapeutic optic nerve decompression is advocated in efforts to preserve visual function. [eyewiki.aao.org]
However, its relationship with visual impairment is not proportional 21. [rbcp.org.br]
Symptomatic or clinical impairments were defined by the presence of a visual field defect or reduced corrected visual acuity. [journals.plos.org]
Musculoskeletal
- Osteoporosis
Decreased bone density leading to osteoporosis Hearing loss Recurrent ear and sinus infections Mild delay in development of motor skills, such as crawling or walking Loose joints Chewing and eating problems due to dental abnormalities High rate of caesarean [craniofacialteamtexas.com]
Fibrous dysplasia can be treated with osteoporosis medications such as pamidronate, which is known for relieving pain, reducing the risk of fractures, and strengthening bones. [craniofacial.net]
Bone health and dental function are compromised: Because the mutated RUNX2 genes affect bone growth, osteoporosis may develop at an early age. [healthblog.uofmhealth.org]
in 2-3% of cases with the polyostotic form isolated endocrinopathy without the full McCune-Albright syndrome precocious puberty in girls hyperthyroidism hyperparathyroidism : renal stones, calcinosis acromegaly diabetes mellitus Cushing syndrome : osteoporosis [radiopaedia.org]
Individuals with cleidocranial dysplasia often have decreased bone density (osteopenia) and may develop osteoporosis, a condition that makes bones progressively more brittle and prone to fracture, at a relatively early age. [ghr.nlm.nih.gov]
Face, Head & Neck
- Epistaxis
One patient presented with unilateral nasal obstruction with epistaxis. In all cases, scanner enabled diagnosis and topographic balance. Two female patients underwent surgery. One case of recurrence was reported. [scienceopen.com]
[…] reserved for the lesions that could lead to acute visual loss such as the ones related to aneurysmal bone cysts and mucoceles.[ 9 ] Postoperative complications occur in 50% of patients and include infections, binocular diplopia, cranial nerve palsy, pain, epistaxis [surgicalneurologyint.com]
Postoperative complications occurred in 15 (50%) patients, including infection, binocular diplopia, and cranial nerve palsies in 3 (10%) patients each; pain in 2 (13.3%); epistaxis, hypertrophic scar, anaemia, and ectropion in 1 (6.7%) each. [nature.com]
Neurologic
- Cranial Nerve Involvement
Fernandez, E., Calavita, U. ( 1980 ) Fibrous dysplasia of the skull with complete unilateral cranial nerve involvement: case report. Journalof Neurosurgery, 52 : 404 – 406. Fries, J. [cambridge.org]
Cystic lesions tend to appear brighter but do not enhance although the fibrous areas often enhance prominently. [2] MRI may also help in evaluating cranial nerve involvement and soft tissue structures adjacent to the lesion. [2] Bone scintigraphy has [jiaomr.in]
Auditory canal/temporal bone/cranial nerves The temporal bone is frequently involved (>70%) in patients with craniofacial PFD or MAS [ 81 ], while temporal bone involvement is uncommon in monostotic disease [ 82, 83 ]. [ojrd.biomedcentral.com]
Treatment
Furthermore, clinical and biochemical response on bisphosphonate treatment was assessed. Prognostic factors for treatment outcome were identified. [bone-abstracts.org]
Treatment for Cleidocranial Dysplasia Fortunately, there have been many advances and improvements in treatments for CCD. Children with CCD can live fulfilling lives, with support and treatment to manage the various symptoms and complications. [craniofacialteamtexas.com]
This group of experts considers the special needs of each patient as they develop a treatment plan. Treatment may include dentures or implants, special treatment for hair, nails and skin, or lifestyle adjustments to maximize comfort and health. [craniofacialcenter.ucsf.edu]
Conclusion: Treatment of craniofacial fibro-osseous lesions is highly individualized. [amsjournal.com]
Your child may need additional surgeries over the course of treatment for facial fibrous dysplasia. In severe cases, the excess bone may grow back over time and require repeated treatments. [chop.edu]
Prognosis
Moreover, the positive expression of TWSG1 in FD with favorable prognosis was higher than that with poor prognosis (P Conclusion: The overexpression of TWSG1 is a vital biological marker in the prognosis of FD. e-Published: 22 Jul, 2016 Disclaimer Manuscripts [mona.uwi.edu]
T1: heterogeneous signal, usually intermediate T2: heterogeneous signal, usually low, but may have regions of higher signal T1 C+ (Gd): heterogeneous contrast enhancement Treatment and prognosis Treatment is reserved for cases where function is being [radiopaedia.org]
It appears that cases with an early onset and polyostotic involvement have a worse prognosis. [rbcp.org.br]
Surgical procedures are required for correction of deformities, prevention of pathologic fractures, or eradication of symptomatic lesions. [9] Treatment of malignant transformation is based on the subtype of sarcoma, but the prognosis tends to be worse [emedicine.medscape.com]
Etiology
Etiology-Based Dental and Craniofacial Diagnostics explores the role of embryology and fetal pathology in the assessment, diagnosis, and subsequent treatment planning of a wide range of disorders in the dentition and craniofacial region. [books.google.de]
However, etiology of supernumerary teeth remains largely unclear. PATIENT CONCERNS: A family with the clinical diagnosis of supernumerary teeth, short stature and craniofacial dysplasia was examined. [ncbi.nlm.nih.gov]
It is a lesion of unknown etiology, uncertain pathogenesis, and diverse histopathology. [journals.lww.com]
Record: found Abstract: found Article: not found Etiology of fibrous dysplasia and McCune-Albright syndrome. In this paper, the etiology of monostotic fibrous dysplasia and McCune-Albright syndrome is explained. [scienceopen.com]
Thus, further study is required to comprehensively elucidate the entity, including its etiology, histopathology, clinical significance, and so forth. [ajnr.org]
Epidemiology
The authors review the biological, epidemiologic, clinical, genetic, and radiographic characteristics of adult FD, with an emphasis on surgical management of FD. [utah.pure.elsevier.com]
Refer to fibrous dysplasia article for a discussion of epidemiology. [radiopaedia.org]
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
As such there is little information and no consensus in the published literature regarding the epidemiological statistics. [en.wikipedia.org]
Pathophysiology
The pathophysiological mechanism of FD-related pain remains ill-understood. We evaluated the degree of pain and the potential contributory factors in 2 patient cohorts from Austria and the Netherlands. [scienceopen.com]
Fibrous Dysplasia: Pathophysiology, evaluation and treatment. JB&JS [Internet]. Agust 2015;87-A(8). [revistamedicasinergia.com]
The indications for surgery are based on the clinical progression and symptoms of the disease, and it is preferably performed after puberty in light of the clinical course and pathophysiology of fibrous dysplasia. [rbcp.org.br]
Fibrous dysplasia: pathophysiology, evaluation, and treatment. The Journal of Bone & Joint Surgery ;87(8): 1848-64. Suárez E, Sanz V, Storch P, García J, López M. Cefalea progresiva: clínica de displasia fibrosa craneofacial. An. [revistas.cientifica.edu.pe]
H&E stain Pathophysiology [ edit ] Fibrous dysplasia is a mosaic disease resulting from post-zygotic activating mutations of the GNAS locus at 20q13.2-q13.3, which codes for the α subunit of the G s G-coupled protein receptor. [9] In bone, constitutive [en.wikipedia.org]
Prevention
The general dental practitioner can be the first to detect such conditions especially when the only affected areas are in maxillo mandibular region so sufficient knowledge on this condition is important for the proper diagnosis, treatment and prevention [bokus.com]
This includes annual dental examinations, preventative, restorative, endodontic, periodontic, orthodontic and prosthodontic treatment. Contact Information Address: Children’s Hospital of Winnipeg FW 107 685 William Ave. [aboutface.ca]
Some common treatments include: Dental surgery and orthodontic treatments to improve appearance and the ability to chew Timely treatment and medication for recurrent ear and sinus infections Protective helmets to prevent head injuries in children with [craniofacialteamtexas.com]
No known prevention exists for fibrous dysplasia. [eyewiki.aao.org]
Tuba KURUOGLU,Mehmet Emin ONGER,Derya BAYIRLI TURAN,Enis KURUOGLU The Preventative Effect of α-Tocopherol on Spinal Epidural Fibrosis After Laminectomy in a Rat Model. [turkishneurosurgery.org.tr]