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Facial asymmetry.

D M Arendt1, J C Whitt, C B Hon

  • 1Laboratory Medicine Department, Naval Hospital, San Diego.

Journal of the American Dental Association (1939)
|June 1, 1990
PubMed
Summary
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This case report details fibrous dysplasia, a rare bone disorder, affecting the mandible in a young adult. It highlights the diagnostic imaging features of this condition.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Radiology
  • Pathology

Background:

  • Fibrous dysplasia is a benign bone disorder characterized by the replacement of normal bone with immature fibrous tissue.
  • Monostotic fibrous dysplasia affects a single bone, with the craniofacial complex being a common site.
  • Mandibular involvement can lead to significant facial deformity and functional impairment.

Observation:

  • A 22-year-old Amerasian male presented with a 5-year history of facial asymmetry.
  • Radiographic examination revealed ill-defined sclerotic, pagetoid calcifications.
  • Computed Tomography (CT) scans showed facial and lingual expansion of the mandible with cortical thinning.

Findings:

  • A three-dimensional enhanced CT scan confirmed a lesion exceeding 4 cm in size.

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  • Microscopic examination, though not detailed in the abstract, is a key component in diagnosing fibrous dysplasia.
  • The combination of clinical presentation and advanced imaging was crucial for diagnosis.

    • Implications:

    • This case underscores the importance of comprehensive imaging techniques, including 3D CT, in evaluating mandibular lesions.
    • Accurate diagnosis of fibrous dysplasia is essential for appropriate management and surgical planning.
    • Understanding the radiographic and clinical manifestations aids in differentiating fibrous dysplasia from other pathologies affecting the jaw.