Fibrous dysplasia of the sphenoid sinus in an adolescent male

Faraci, Robert P.; Ketcham, Alfred S.

doi:10.1002/jso.2930070605

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…Tables I through IV summarize the collective published experience with maxillary and sphenoid benign and malignant tumors according to histopathology and incidence. 7–50 , 51–100 , 101–150 , 151–200 , 201–250 , 251–300 , 301–350 , 351–400 , 401–450 , …”

Section: Resultsmentioning

confidence: 99%

Factors in the Pathogenesis of Tumors of the Sphenoid and Maxillary Sinuses: A Comparative Study

Reino

2000

The Laryngoscope

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Objectives/Hypothesis To explain the processes that lead to the development of tumors in the maxillary and sphenoid sinuses. Study Design A 32‐year review of the world's literature on neoplasms of these two sinuses and a randomized case‐controlled study comparing the normal mucosal architecture of the maxillary to the sphenoid sinus. Methods Analysis of a 32‐year world literature review reporting series of cases of maxillary and sphenoid sinus tumors. Tumors were classified by histological type and separated into subgroups if an individual incidence rate was reported. Histomorphometry of normal maxillary and sphenoid sinus mucosa was performed in 14 randomly selected patients (10 sphenoid and 4 maxillary specimens). Specimens were fixed in 10% formalin, embedded in paraffin, and stained with periodic acid–Schiff (PAS) and hematoxylin. Histomorphometric analysis was performed with a Zeiss Axioscope light microscope (Carl Zeiss Inc., Thornwood, NY) mounted with a Hamamatsu (Hamamatsu Photonics, Tokyo, Japan) color‐chilled 3 charge coupled device digital camera. The images were captured on a 17‐inch Sony (Sony Corp., Tokyo, Japan) multiscan monitor and analyzed with a Samba 4000 Image Analysis Program (Samba Corp., Los Angeles, CA). Five random areas were selected from strips of epithelium removed from each sinus, and goblet and basal cell measurements were made at magnifications ×100 and ×400. Results The literature review revealed that the number and variety of tumors in the maxillary sinus are much greater than those in the sphenoid. The incidence of metastatic lesions to each sinus is approximately equal. No recognized pattern of spread from any particular organ system could be determined. On histomorphometric study there were no statistically significant differences between the sinuses in the concentration of goblet cells, basal cells, or seromucinous glands. Conclusions Factors involved in the pathogenesis of tumors of the maxillary and sphenoid sinuses include differences in nasal physiology, embryology, morphology, and topography. There are no significant histological differences in the epithelium and submucous glands between the two sinuses to explain the dissimilar formation of neoplasms.

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Section: Resultsmentioning

confidence: 99%

Factors in the Pathogenesis of Tumors of the Sphenoid and Maxillary Sinuses: A Comparative Study

Reino

2000

The Laryngoscope

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“…Faraci RP & Ketcham AS reported a case of isolated sphenoid lesion in 13-year-old black male 7 . They reported that one year following admission, the patient's proptosis disappeared and his symptoms were markedly improved.…”

Section: Discussionmentioning

confidence: 98%

Fibrous dysplasia of Sphenoid bone

Singh

Mohan

2007

Indian J Otolaryngol Head Neck S

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Fibrous dysplasia represents a disturbance of normal bone development specifically a defect in osteoblastic differentiation and maturation that originates in the mesenchymal precursor of the bone. In fibrous dysplasia, the lesion expands, which leads to a distortion and weakening of bone. Although the lesion is not encapsulated, it tends to remain enclosed within a shell of cortical bone. This shell can be thinned as a result of the pressure exerted on it. As it slowly progresses, fibrous dysplasia can cause skeletal destruction and deformity.

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“…They reported that one year following admission, the patient's proptosis disappeared and his symptoms were markedly improved. [7] The clinical picture of skull base FD depends on the pathologic bone's compressive effect against adjacent structures. Patients are usually asymptomatic and present with a painless bony enlargement leading to deformity and asymmetry.…”

Section: Pathological Discussionmentioning

confidence: 99%