Isolated Fibrous Dysplasia Of The Head Of Middle Turbinate

Purpose: To report an unusual fibro-osseus lesion of isolated anterior end of the middle turbinate. Design: A case report. Patient and methods: A 34 year old female presented with the complaints of right sided purulent nasal discharge. Examination revealing enlarged anterior end of the middle turbinate. CT scan revealed fibro osseus lesion affecting only the anterior end on the middle turbinate with other paranasal sinuses being normal. It was excised endoscopically. Histopathology revealed it to be fibrous dysplasia. Discussion: Fibrous dysplasia of the facial skeleton usually involves the ethmoid and maxillary sinuses affecting the adolescents. Isolated involvement of the middle turbinate is rare. The literature mentions three reports of middle turbinate fibrous dysplasia associated with involvement of adjacent ethmoid bone along with either endocrine disorder or Widal syndrome. This was adult female having the isolated fibrous dysplasia of the head of middle turbinate.