Annals of maxillofacial surgery · 2023
A Massive Craniofacial Polyostotic Fibrous Dysplasia of Midface - A Rare Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Joshi Udupi Krishna, Patil Satishkumar G, Thaminidi Sowmya, Mangalgi Anand, Hashmi Aaquib
Аннотация
RATIONALE: Fibrous dysplasia (FD) is a fibro-osseous lesion of the osseous structures of the body. With an incidence of 1:4000-1:10,000, it seems to be a rare disease. Polyostotic craniofacial fibrous dysplasia involves the skull base bones and facial bones.
PATIENT CONCERNS: The patient complained of a huge swelling over the right side of her face for the past 12 years.
DIAGNOSIS: Based on clinical, radiological and histopathological findings, the swelling was diagnosed as polyostotic craniofacial FD.
TREATMENT: Swelling over the right side of the midface around 6 cm × 5 cm involving right maxilla, zygoma, floor of orbit, lateral side of nose (pyriform aperture) and skull base bones. Since the patient had no functional deficit, we opted for surgical recontouring.
OUTCOMES: The patient was satisfied with post-operative results.
TAKE-AWAY LESSONS: In huge asymptomatic facial deformity, rather than going for resection, we can remove bone in a piecemeal manner followed by recontouring.
PATIENT CONCERNS: The patient complained of a huge swelling over the right side of her face for the past 12 years.
DIAGNOSIS: Based on clinical, radiological and histopathological findings, the swelling was diagnosed as polyostotic craniofacial FD.
TREATMENT: Swelling over the right side of the midface around 6 cm × 5 cm involving right maxilla, zygoma, floor of orbit, lateral side of nose (pyriform aperture) and skull base bones. Since the patient had no functional deficit, we opted for surgical recontouring.
OUTCOMES: The patient was satisfied with post-operative results.
TAKE-AWAY LESSONS: In huge asymptomatic facial deformity, rather than going for resection, we can remove bone in a piecemeal manner followed by recontouring.