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CEMENTO OSSIFYNG FIBROMA OF THE ETHMOIDAL CELLS, diagnosis, treatment
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CEMENTO OSSIFYNG FIBROMA OF THE
ETHMOIDAL CELLSA CASE REPORT
Department of Otorhinolaryngology and Head & Neck Surgery Sestre milosrdnice hospital Zagreb
D.Shejbal, Baudoin T, Geber G, Drviš P, Stevanović S
CEMENTIFYNG FIBROMAS
• Rare benign tumors which arise from the peridontal membrane
• Multipotent cells: fibrous tissue, cementum, lammelar bones ( psammous desmo osteoblastomas)
1. Mandibula
2. Maxilla
3. Very rare in
PNS
DEVELOPMENTthree distinct stage
• I. osteolytic: cellular tissue only/ no calcified deposite
• II. Cementoblastic stage: becomes calcified and radiopaque
• III. Mature inactive stage: calcified and encapsulated ( 3,8 cm)
• Immature
• Aggressive manner
• destructive
• recidivism
PROBLEMS
• Ethmoidal location
Incoplete migration and differentiaition into peridontal membrane
( mesodermal origin)
-female, 9 years
-family history: normal, -personal history: allergy
to dermatophagoydes, pollenosis
Labaratory data, chest x ray: nornal
TWO MONTHS AGOPain in forehead, right eye,
diminished vision
ANT. RHYNOSCOPYHiperemy mucous membrane, Globe form. in middle meatus
like a conha bullosa
NMR
mucocoellae of anterior et
posterior ethmoid cells destruction lamina orbitalis
• Cemento ossifyng fybroma in the ethmoidal cells are very rare ( up to 10 cases)
• psammous desmo osteoblastomas
• Probably, this is a SECOND CASE which is a cystic lesion has performed
• Suggested craniofacial ressection/ parents refused• Micro endoscopic tumor ressection/ other hospital• Dacrocystorhinostomy• Transnasal endoscopic adenotomy• No signs of rhinoliqurrhea• Small residual tumor in the area of lamina
papyracea and no signs of dural lesion