Craniofacial fibrous dysplasia

Case contributed by Domenico Nicoletti
Diagnosis almost certain


Recurrent dacryocystitis.

Patient Data

Age: 55 years old
Gender: Female

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.

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