case_images: PMC6263244_01
case_images: Bony swelling present over the posterior part of maxilla involving the maxillary tuberosity and part of palate.
case_images: ccide-10-269Fig1.jpg
case_images: PMC6263244_01_ccide-10-269Fig1.jpg
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case_images: Occlusal radiograph showing fibrous dysplasia with ground glass appearance over the right side extending from first premolar to the area beyond maxillary tuberosity.
case_images: ccide-10-269Fig2.jpg
case_images: PMC6263244_01_ccide-10-269Fig2.jpg
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case_images: PMC6263244_02
case_images: Preoperative images showing facial asymmetry due to bony hard expansion of craniofacial bones.
case_images: ccide-10-269Fig3.jpg
case_images: PMC6263244_02_ccide-10-269Fig3.jpg
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case_images: No associated skin pigmentations were detected (Figure 3).
case_images: Lateral and PA views of radiographs showing ground glass appearance involving multiple cranial bones.. Abbreviation: PA, posteroanterior.
case_images: ccide-10-269Fig4.jpg
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case_images: Three years ago, the patient underwent a radiographic imaging (Figure 4) and computed tomography scans on which a diffuse thickening of cranial bones (frontal, occipital, sphenoid, zygomatic, petrous, and mastoid bones of both sides and temporal and parietal bones of the left side) involving mainly outer table is noted (Figure 5).
case_images: (A) CT and (B) 3D CT scans showing expansile growth of the multiple skull and facial bones.. Abbreviation: CT, computed tomography.
case_images: ccide-10-269Fig5.jpg
case_images: PMC6263244_02_ccide-10-269Fig5.jpg
case_images: f5-ccide-10-269
case_images: Three years ago, the patient underwent a radiographic imaging (Figure 4) and computed tomography scans on which a diffuse thickening of cranial bones (frontal, occipital, sphenoid, zygomatic, petrous, and mastoid bones of both sides and temporal and parietal bones of the left side) involving mainly outer table is noted (Figure 5).
case_images: Postoperative images.
case_images: ccide-10-269Fig6.jpg
case_images: PMC6263244_02_ccide-10-269Fig6.jpg
case_images: f6-ccide-10-269
case_images: In both the cases, incisional biopsies followed by surgical corrections were performed (Figure 6).
case_images: Histopathological sections of both cases revealing curvilinear-shaped bony trabeculae with the absence of osteoblastic rimming, seen dispersed within cellular loosely organized fibrous stroma.
case_images: ccide-10-269Fig7.jpg
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case_images: f7-ccide-10-269
case_images: The trabeculae showed the presence of osteocytes and the absence of peripheral rimming of osteoblasts suggestive of fibrous dysplasia (Figures 7 and 8).
case_images: Histopathological sections of both cases at x40 magnification showing bony trabeculae with absence of osteoblastic rimming.
case_images: ccide-10-269Fig8.jpg
case_images: PMC6263244_02_ccide-10-269Fig8.jpg
case_images: f8-ccide-10-269
case_images: The trabeculae showed the presence of osteocytes and the absence of peripheral rimming of osteoblasts suggestive of fibrous dysplasia (Figures 7 and 8).