The patient of this case visited the otolaryngology clinic with complaints of headache and epiphora (excessive eye watering). He was aware of the facial deformity, which to him was attributed to the traffic accident he was involved in at age 14.
The patient underwent surgical repair of a fracture in his left frontal bone and orbit. As a sequelae, he had facial deformity and proptosis.
It is not clear to us nor to the patient whether imaging at that time showed that he already had changes of craniofacial fibrous dysplasia or whether they were triggered by the trauma and healing process.
The fact that the patient had no symptoms for many years suggests the lesions have not evolved much since the initial insult, which goes with the diagnosis of fibrous dysplasia is known for not progressing much after puberty.
The patient is scheduled for functional endoscopic sinus surgery (FESS) to relieve the sinus obstruction and also and endoscopic dacryocystorhinostomy (DCR) for epiphora.