Paediatric paranasal sinus fibrous dysplasia

Author:

Adeyemo AA12,Ogunkeyede SA23ORCID,Daniel A23,Lasisi AO23

Affiliation:

1. Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria

2. Department of Otorhinolaryngology, University College Hospital, Ibadan, Nigeria

3. Department of Otorhinolaryngology, College of Medicine, University of Ibadan, Ibadan, Nigeria

Abstract

Fibrous dysplasia in the bony walls of a paranasal sinus is a developmental tumour that is associated with a marked facial deformity. Delay in hospital presentation contributes to the destructive resection techniques employed and the management outcome. Our study looks at the factors for delay in hospital presentation and the management outcome by a retrospective review between January 1997 and December 2018. Of 43 children (M: F 1:1.2) with a mean age of 12 ± 1.75 years, the maxillary bones were mostly affected. All underwent surgical resection with good management outcomes except for maxillectomy. Tumour recurrence was noted in five and there was no mitotic cell at histology. The clinical symptoms of fibrous dysplasia vary in severity and age of onset, often with late hospital presentation already with complications. Health education is needed to reverse this trend.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

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