Debulking Technique for the Treatment of Nasal Congestion due to Sinonasal Fibrous Dysplasia: A Case Report

Abstract

Fibrous dysplasia (FD) is a benign disorder of the fibro-osseous tissue. We report a case of FD occupying the right nasal cavity. The patient complained of right nasal obstruction and rhinorrhea. CT and MRI examination showed an expanding sclerotic lesion in the right nasal cavity compressing the right orbit and cranial base. We performed partial excision of FD by endoscopic endonasal surgery. The debulking technique was chosen, and most of the FD in the nasal cavity was excised without major complications. His nasal congestion disappeared after the surgery, and nasal resistance determined by rhinomanometry recovered to the normal range. The debulking technique could be considered as a therapeutic option for patients suffering from nasal obstruction caused by FD of the nasal cavity.