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Temporal Bone Fibrous Dysplasia
Philip R. Chapman, MD; 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 FD, 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

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Pontes-Madruga TC et al: Fibrous dysplasia: rare manifestation in the temporal bone. Braz J Otorhinolaryngol. ePub, 2020
                                              2. Andreu-Arasa VC et al: Otosclerosis and dysplasias of the temporal bone. Neuroimaging Clin N Am. 29(1):29-47, 2019
                                              3. Neromyliotis E et al: Fibrous dysplasia of occipital and temporal bone. A case report. Oxf Med Case Reports. 2019(5):omz039, 2019
                                              4. Boyce AM et al: Association of hearing loss and otologic outcomes with fibrous dysplasia. JAMA Otolaryngol Head Neck Surg. 144(2):102-7, 2018
                                              5. Mierzwiński J et al: Different clinical presentation and management of temporal bone fibrous dysplasia in children. World J Surg Oncol. 16(1):5, 2018
                                              6. 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
                                              7. Kim YH et al: Role of surgical management in temporal bone fibrous dysplasia. Acta Otolaryngol. 129(12):1374-9, 2009
                                              8. 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
                                              9. 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
                                              10. Fakhri S et al: Fibrous dysplasia of the temporal bone. J Otolaryngol. 32(2):132-5, 2003
                                              11. Ozbek C et al: Fibrous dysplasia of the temporal bone. Ann Otol Rhinol Laryngol. 112(7):654-6, 2003
                                              12. Chee GH et al: Fibrous dysplasia of the temporal bone. Otol Neurotol. 23(3):405-6, 2002
                                              13. Falcioni M et al: Fibrous dysplasia of the temporal bone. Am J Otol. 21(6):887-8, 2000
                                              14. Xenellis J et al: Monostotic fibrous dysplasia of the temporal bone. J Laryngol Otol. 113(8):772-4, 1999
                                              15. Jee WH et al: Fibrous dysplasia: MR imaging characteristics with radiopathologic correlation. AJR Am J Roentgenol. 167(6):1523-7, 1996
                                              16. Brown EW et al: Fibrous dysplasia of the temporal bone: imaging findings. AJR Am J Roentgenol. 164(3):679-82, 1995
                                              17. 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 FD, 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

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Pontes-Madruga TC et al: Fibrous dysplasia: rare manifestation in the temporal bone. Braz J Otorhinolaryngol. ePub, 2020
                                                                                          2. Andreu-Arasa VC et al: Otosclerosis and dysplasias of the temporal bone. Neuroimaging Clin N Am. 29(1):29-47, 2019
                                                                                          3. Neromyliotis E et al: Fibrous dysplasia of occipital and temporal bone. A case report. Oxf Med Case Reports. 2019(5):omz039, 2019
                                                                                          4. Boyce AM et al: Association of hearing loss and otologic outcomes with fibrous dysplasia. JAMA Otolaryngol Head Neck Surg. 144(2):102-7, 2018
                                                                                          5. Mierzwiński J et al: Different clinical presentation and management of temporal bone fibrous dysplasia in children. World J Surg Oncol. 16(1):5, 2018
                                                                                          6. 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
                                                                                          7. Kim YH et al: Role of surgical management in temporal bone fibrous dysplasia. Acta Otolaryngol. 129(12):1374-9, 2009
                                                                                          8. 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
                                                                                          9. 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
                                                                                          10. Fakhri S et al: Fibrous dysplasia of the temporal bone. J Otolaryngol. 32(2):132-5, 2003
                                                                                          11. Ozbek C et al: Fibrous dysplasia of the temporal bone. Ann Otol Rhinol Laryngol. 112(7):654-6, 2003
                                                                                          12. Chee GH et al: Fibrous dysplasia of the temporal bone. Otol Neurotol. 23(3):405-6, 2002
                                                                                          13. Falcioni M et al: Fibrous dysplasia of the temporal bone. Am J Otol. 21(6):887-8, 2000
                                                                                          14. Xenellis J et al: Monostotic fibrous dysplasia of the temporal bone. J Laryngol Otol. 113(8):772-4, 1999
                                                                                          15. Jee WH et al: Fibrous dysplasia: MR imaging characteristics with radiopathologic correlation. AJR Am J Roentgenol. 167(6):1523-7, 1996
                                                                                          16. Brown EW et al: Fibrous dysplasia of the temporal bone: imaging findings. AJR Am J Roentgenol. 164(3):679-82, 1995
                                                                                          17. 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