# A Rare Case of Fibrous Dysplasia Presenting With Facial Swelling and Craniofacial Deformity in a 13-Year-Old Girl

## TL;DR

A 13-year-old girl with facial swelling and breathing issues was diagnosed with fibrous dysplasia, a rare bone disorder, highlighting the need for early recognition and collaborative care.

## Contribution

This paper presents a rare pediatric case of fibrous dysplasia with craniofacial deformity and emphasizes the importance of multidisciplinary management.

## Key findings

- CT imaging showed a ground-glass lesion in multiple craniofacial bones.
- Histopathology confirmed the diagnosis of fibrous dysplasia.
- Conservative management was used, with surgery considered for symptom progression.

## Abstract

Fibrous dysplasia (FD) is a rare benign skeletal disorder that replaces normal bone with fibrous tissue and immature woven bone. We present a case of a 13-year-old girl with right-sided facial swelling and craniofacial deformity since birth, accompanied by nasal obstruction and difficulty in breathing and swallowing. Computed tomography (CT) imaging revealed an expansile bony lesion with a ground-glass matrix involving multiple craniofacial bones. Histopathological examination confirmed the diagnosis of FD. Management involved regular monitoring and conservative measures, with surgical intervention reserved for symptomatic progression or cosmetic concerns. This case underscores the importance of considering FD in the differential diagnosis of craniofacial asymmetry and highlights the collaborative approach to patient care. Further research is needed to optimize management strategies and outcomes for pediatric patients with FD.