Abstract
A case of ethmoid fibrous dysplasia with unilateral chronic sinusitis was reported. The patient was a 21-year-old male who had complained of left nasal obstruction for several years. A plain radiogram of the paranasal sinuses revealed an opaque shadow visible only in the left ethmoid and maxillary sinuses, which induced the unilateral sinusitis. However, amorphous sclerotic changes mainly in portions of the left ethmoid bone were visible in the CT image, which were suggestive of fibrous dysplasia.As the patient had no symptoms other than left nasal obstruction, a Caldwell-Luc antrotomy, with partial resection of the left inferior turbinate, was performed. At the same time, a transantral biopsy of the ethmoid bone was carried out, and the subsequent pathological diagnosis was fibrous dysplasia.Although fibrous dysplasia of ethmoid bone is rare, physicians should be aware of the possibility of this disease in cases of unilateral sinusitis.
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