Fibrös dysplasi. Patienttilfaelde med toårs klinisk og radiologisk opfölgning
Sammanfattning
Background - Fibrous dysplasia is a benign fibro-osseous
lesion, characterized by a pathological replacement of normal
bone tissue by an excessive amount of benign fibrous
tissue concomitant with irregular immature bony trabeculae.
Fibrous dysplasia usually develops during childhood
and early adolescence and stabilises when skeletal maturity
is reached. The lesion presents itself as a slow-growing
and painless swelling of the affected area causing potential
cosmetic deformity, displacement of teeth and functional
problems. Depending of the nature and size of the lesion,
treatment varies from regular recall examinations to surgical
intervention of the affected areas.
Case study - A twelve-year-old boy was referred to the Department
of Oral and Maxillofacial Surgery, Aalborg University
Hospital, for diagnosis and treatment of an asymptomatic
swelling of the maxilla. Biopsy and histological examination
revealed the diagnosis of fibrous dysplasia. As a result of
cosmetic deformity the patient was treated in the affected
area with surgical contouring. At 2 year post-operative follow-
up, the patient appeared without cosmetic or functional
complaints.
Conclusion - Fibrous dysplasia is a benign fibro-osseous
lesion with the jaws being among the most commonly affected
sites. A long-term clinical and radiologic follow-up is
recommended considering development of fibrous dysplasia
can cause cosmetic and functional deformities, weakening
of the bone with the risk of jaw fracture and in rare cases
malignant transformation. At 2 years post-operative clinical
and radiographical follow-up the current patient showed stationary
conditions.