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Temporal Bone Fibrous Dysplasia
H. Ric Harnsberger, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Fibrous dysplasia (FD)
            • Definitions

              • Congenital disorder with defect in osteoblastic differentiation & maturation resulting in progressive replacement of normal cancellous bone by mixture of fibrous tissue & immature woven bone
              • McCune-Albright syndrome: Triad of fibrous dysplasia, café au lait spots, & endocrine dysfunction with precocious puberty

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Yang H et al: Surgical treatment of monostotic fibrous dysplasia of the temporal bone: a retrospective analysis. Am J Otolaryngol. 33(6):697-701, 2012
                                            2. Kim YH et al: Role of surgical management in temporal bone fibrous dysplasia. Acta Otolaryngol. 129(12):1374-9, 2009
                                            3. Wang YC et al: Fibrous dysplasia of the temporal bone presenting as an external auditory canal mass. Otolaryngol Head Neck Surg. 141(5):655-6, 2009
                                            4. Karino S et al: Fibrous dysplasia of the temporal bone: assessment by three-dimensional helical CT imaging. Otolaryngol Head Neck Surg. 133(4):643, 2005
                                            5. Fakhri S et al: Fibrous dysplasia of the temporal bone. J Otolaryngol. 32(2):132-5, 2003
                                            6. Ozbek C et al: Fibrous dysplasia of the temporal bone. Ann Otol Rhinol Laryngol. 112(7):654-6, 2003
                                            7. Chee GH et al: Fibrous dysplasia of the temporal bone. Otol Neurotol. 23(3):405-6, 2002
                                            8. Falcioni M et al: Fibrous dysplasia of the temporal bone. Am J Otol. 21(6):887-8, 2000
                                            9. Xenellis J et al: Monostotic fibrous dysplasia of the temporal bone. J Laryngol Otol. 113(8):772-4, 1999
                                            10. Jee WH et al: Fibrous dysplasia: MR imaging characteristics with radiopathologic correlation. AJR Am J Roentgenol. 167(6):1523-7, 1996
                                            11. Brown EW et al: Fibrous dysplasia of the temporal bone: imaging findings. AJR Am J Roentgenol. 164(3):679-82, 1995
                                            12. Megerian CA et al: Fibrous dysplasia of the temporal bone: ten new cases demonstrating the spectrum of otologic sequelae. Am J Otol. 16(4):408-19, 1995
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Fibrous dysplasia (FD)
                                                      • Definitions

                                                        • Congenital disorder with defect in osteoblastic differentiation & maturation resulting in progressive replacement of normal cancellous bone by mixture of fibrous tissue & immature woven bone
                                                        • McCune-Albright syndrome: Triad of fibrous dysplasia, café au lait spots, & endocrine dysfunction with precocious puberty

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Nuclear Medicine Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        • Gross Pathologic & Surgical Features

                                                                          • Microscopic Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Yang H et al: Surgical treatment of monostotic fibrous dysplasia of the temporal bone: a retrospective analysis. Am J Otolaryngol. 33(6):697-701, 2012
                                                                                      2. Kim YH et al: Role of surgical management in temporal bone fibrous dysplasia. Acta Otolaryngol. 129(12):1374-9, 2009
                                                                                      3. Wang YC et al: Fibrous dysplasia of the temporal bone presenting as an external auditory canal mass. Otolaryngol Head Neck Surg. 141(5):655-6, 2009
                                                                                      4. Karino S et al: Fibrous dysplasia of the temporal bone: assessment by three-dimensional helical CT imaging. Otolaryngol Head Neck Surg. 133(4):643, 2005
                                                                                      5. Fakhri S et al: Fibrous dysplasia of the temporal bone. J Otolaryngol. 32(2):132-5, 2003
                                                                                      6. Ozbek C et al: Fibrous dysplasia of the temporal bone. Ann Otol Rhinol Laryngol. 112(7):654-6, 2003
                                                                                      7. Chee GH et al: Fibrous dysplasia of the temporal bone. Otol Neurotol. 23(3):405-6, 2002
                                                                                      8. Falcioni M et al: Fibrous dysplasia of the temporal bone. Am J Otol. 21(6):887-8, 2000
                                                                                      9. Xenellis J et al: Monostotic fibrous dysplasia of the temporal bone. J Laryngol Otol. 113(8):772-4, 1999
                                                                                      10. Jee WH et al: Fibrous dysplasia: MR imaging characteristics with radiopathologic correlation. AJR Am J Roentgenol. 167(6):1523-7, 1996
                                                                                      11. Brown EW et al: Fibrous dysplasia of the temporal bone: imaging findings. AJR Am J Roentgenol. 164(3):679-82, 1995
                                                                                      12. Megerian CA et al: Fibrous dysplasia of the temporal bone: ten new cases demonstrating the spectrum of otologic sequelae. Am J Otol. 16(4):408-19, 1995