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The radiological versatility of fibrous dysplasia: An 8-year retrospective radiographic analysis in a north Indian population.

Mohan RP, Verma S, Gupta N, Ghanta S, Agarwal N, Gupta S - Indian J Dent (2014)

Bottom Line: Almost all the patients presented with a complaint of swelling on the side of the face.The maxilla was more frequently involved than the mandible.The most common radiographic pattern observed was the ground-glass appearance, followed by orange peel, cotton wool, sunray and thumb print appearance, which leads to a perplex differential diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India.

ABSTRACT

Objective: The aim of this study was to examine the clinical and radiographic presentation of fibrous dysplasia through an 8-year retrospective study in patients who reported to the outpatient unit of the Kothiwal Dental College and Research Centre, Moradabad.

Materials and methods: The clinical file records and radiographs of the patients who reported to the outpatient clinic in the Department of Oral Medicine and Radiology were retrospectively reviewed for histopathologically diagnosed fibrous dysplasia. A detailed analysis of the clinical and radiographic features of the 14 cases retrieved was carried out.

Results: Almost all the patients presented with a complaint of swelling on the side of the face. The maxilla was more frequently involved than the mandible. The most common radiographic pattern observed was the ground-glass appearance, followed by orange peel, cotton wool, sunray and thumb print appearance, which leads to a perplex differential diagnosis.

Conclusion: Awareness of the versatile features of fibrous dysplasia evident through this study is essential in the accurate diagnosis and proper treatment planning of such lesions.

No MeSH data available.


Related in: MedlinePlus

(a) Mandibular right lateral cross-sectional occlusal radiograph of case 10 revealing orange peel appearance. (b) Orthopantomogram of case 10 revealing orange peel appearance with a cystic variety. (c) Orthopantomogram of case 11 revealing cotton wool appearance in the mandible and maxilla involving the craniofacial complex. (d) Mandibular left lateral cross-sectional occlusal radiograph of case 13 showing sunray appearance
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Figure 5: (a) Mandibular right lateral cross-sectional occlusal radiograph of case 10 revealing orange peel appearance. (b) Orthopantomogram of case 10 revealing orange peel appearance with a cystic variety. (c) Orthopantomogram of case 11 revealing cotton wool appearance in the mandible and maxilla involving the craniofacial complex. (d) Mandibular left lateral cross-sectional occlusal radiograph of case 13 showing sunray appearance

Mentions: Of all the cases reviewed, four cases were investigated by CT. Only four cases, of which three cases involved the mandible and one case involved the maxilla, showed a well-defined corticated border. The other 10 had ill-defined peripheries. Nine cases presented with ground-glass appearance [Figures 1a–d, 2a–e, 3a–c and 4a–c], one with orange peel [Figure 5a and b], two with cotton wool [Figures 5c and 6a], one with sunray [Figures 5d and 6b] and one with thumb print appearance [Figure 6c]. Twelve cases were unilateral and two were bilateral. The shape of the mandibular lesions was fusiform whereas the maxillary lesions generally followed the shape of the bone. All lesions had expanded the alveolar process bucco-lingually. All four cases affecting the mandible had caused downward displacement of the inferior border of the mandible, whereas three cases were associated with downward displacement of the inferior alveolar canal [Figures 1a and 4a] and in one case, it was indiscernible [Figure 5c]. Four lesions revealed effacement of the floor of the maxillary sinus [Figures 1d, 2d and 3c] and five cases revealed its obliteration [Figure 3a]. The case with orange peel appearance revealed a cystic lesion in the 33 and 34 tooth regions apically [Figure 5b].


The radiological versatility of fibrous dysplasia: An 8-year retrospective radiographic analysis in a north Indian population.

Mohan RP, Verma S, Gupta N, Ghanta S, Agarwal N, Gupta S - Indian J Dent (2014)

(a) Mandibular right lateral cross-sectional occlusal radiograph of case 10 revealing orange peel appearance. (b) Orthopantomogram of case 10 revealing orange peel appearance with a cystic variety. (c) Orthopantomogram of case 11 revealing cotton wool appearance in the mandible and maxilla involving the craniofacial complex. (d) Mandibular left lateral cross-sectional occlusal radiograph of case 13 showing sunray appearance
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4213873&req=5

Figure 5: (a) Mandibular right lateral cross-sectional occlusal radiograph of case 10 revealing orange peel appearance. (b) Orthopantomogram of case 10 revealing orange peel appearance with a cystic variety. (c) Orthopantomogram of case 11 revealing cotton wool appearance in the mandible and maxilla involving the craniofacial complex. (d) Mandibular left lateral cross-sectional occlusal radiograph of case 13 showing sunray appearance
Mentions: Of all the cases reviewed, four cases were investigated by CT. Only four cases, of which three cases involved the mandible and one case involved the maxilla, showed a well-defined corticated border. The other 10 had ill-defined peripheries. Nine cases presented with ground-glass appearance [Figures 1a–d, 2a–e, 3a–c and 4a–c], one with orange peel [Figure 5a and b], two with cotton wool [Figures 5c and 6a], one with sunray [Figures 5d and 6b] and one with thumb print appearance [Figure 6c]. Twelve cases were unilateral and two were bilateral. The shape of the mandibular lesions was fusiform whereas the maxillary lesions generally followed the shape of the bone. All lesions had expanded the alveolar process bucco-lingually. All four cases affecting the mandible had caused downward displacement of the inferior border of the mandible, whereas three cases were associated with downward displacement of the inferior alveolar canal [Figures 1a and 4a] and in one case, it was indiscernible [Figure 5c]. Four lesions revealed effacement of the floor of the maxillary sinus [Figures 1d, 2d and 3c] and five cases revealed its obliteration [Figure 3a]. The case with orange peel appearance revealed a cystic lesion in the 33 and 34 tooth regions apically [Figure 5b].

Bottom Line: Almost all the patients presented with a complaint of swelling on the side of the face.The maxilla was more frequently involved than the mandible.The most common radiographic pattern observed was the ground-glass appearance, followed by orange peel, cotton wool, sunray and thumb print appearance, which leads to a perplex differential diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India.

ABSTRACT

Objective: The aim of this study was to examine the clinical and radiographic presentation of fibrous dysplasia through an 8-year retrospective study in patients who reported to the outpatient unit of the Kothiwal Dental College and Research Centre, Moradabad.

Materials and methods: The clinical file records and radiographs of the patients who reported to the outpatient clinic in the Department of Oral Medicine and Radiology were retrospectively reviewed for histopathologically diagnosed fibrous dysplasia. A detailed analysis of the clinical and radiographic features of the 14 cases retrieved was carried out.

Results: Almost all the patients presented with a complaint of swelling on the side of the face. The maxilla was more frequently involved than the mandible. The most common radiographic pattern observed was the ground-glass appearance, followed by orange peel, cotton wool, sunray and thumb print appearance, which leads to a perplex differential diagnosis.

Conclusion: Awareness of the versatile features of fibrous dysplasia evident through this study is essential in the accurate diagnosis and proper treatment planning of such lesions.

No MeSH data available.


Related in: MedlinePlus