Craniofacial fibrous dysplasia

Case contributed by Dr Domenico Nicoletti

Diagnosis almost certain

Presentation

Recurrent dacryocystitis.

Patient Data

Age: 55 years old

Gender: Female

From the case: Craniofacial fibrous dysplasia

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Axial bone window

Modest cranial asymmetry. Aspect "ground-glass" of sphenoid and calvarium with aplasia of the frontal, maxillary and sphenoid sinuses. Right nasolacrimal duct opens into the nasal cavity through dehiscence of ipsilateral medial orbit wall. It was not possible to introduce the contrast into the lacrimal ducts.