Craniofacial Fibrous Dysplasia Addressed Through the Intraoral and Nasal Access
Keywords:maxilla, fibrous dysplasia, surgical technique
AbstractBackground: The Craniofacial Fibrous Dysplasia is a benign disease, pseudoneoplasic, rare and asymptomatic of slow growth promoting replacement of bone tissue by an amorphous connective tissue, promoting bone deformation that can invade and cause compression of important structures such as the skull base and facial orbital bone. This study aims to present a clinical case of a Craniofacial Fibrous Dysplasia, emphasizing an alternative of an aesthetic surgical access by an intraoral approach. Case Report: We report the clinical case of patient IMS, 21 years of age with craniofacial fibrous dysplasia presenting deformity of the left facial middle third in orbital, nasal and maxilla region who was submitted to surgery for facial recontouring. The surgical access was intraoral associated with access for rhinoplasty. A lesion scrape was realized for facial recontouring and nasal osteotomy for correction of deviation caused by the injury. Conclusions: It was concluded that the surgical technique associated with the intraoral access with nasal extension is an important tool in addressing these lesions, allowing a large surgical field and satisfactory aesthetic and functional results without facial scars.
Sannomiya, E. K. et al. Aspectos radiogrÃ¡ficos da displasia fibrosa craniofacial: relato de um caso clÃnico. Rev. PÃ³s Grad 2004, v. 11, n. 2, p. 201-206.
Lichtenstein L, Jaffe HL. Fibrous dysplasia of bone. Arch Pathol 1942; 33: 777-816.
Huller, T. E.; Lusting, L. R. PagetÂ´s disease and fibrous dysplasia. Otolaryngol. Clin. North Am., 2003 v. 36, n. 4, p. 707-732.
Alves AL, Canavarros F, Vilela DSA, et al. Displasia fibrosa: relato de trÃªs casos. Rev Bras Otorrinolaringol 2000;68(2):288-92.
Selva D, White VA, Oâ€™Connell JX, Rootman J. Primary bone tumors of the orbit. Surv Ophthalmol. 2004;49(3):328-42.
Tokano, H. et al. Sequencial computed tomography images demonstrating characteristic changes in fibrous dysplasia. J. Laryngol. Otol 2001 v. 115, n. 9, p. 757-759.
Schipper, J. et al. Computer-assisted surgery (CAS) for the optimal treatment of craniofacial fibrous dysplasia. HNO. 2005, v. 53, n. 9, p. 766-772.
Som PM, Curtin HD. Head and neck imaging. 4th ed. New York, NY: Mosby, 2004.
Chen YR, Wong FH, Hsueh C, Lo LJ. Computed tomography characteristics of non-syndromic craniofacial fibrous dysplasia. Chang Gung Med J 2002;25:1â€“8.
Contran RS, Kumar V, Robbins SL. Robbins Patologia estrutural e funcional. 5Âª ed. Rio de Janeiro, RJ: Guanabara Koogan, 1996.
Ricalde, P.; Horswell, B. B. Craniofacial fibrous dysplasia of the fronto-orbital region: a case series and literature review. J. Oral Maxillofac. Surg 2001 v. 59, n. 2, p. 157-167.
Murray RC, Kirkpatrick HJR, Forrai E. Case of Albrightâ€˜s syndrome (osteitis fibrosa disseminata). Br J Surg 1946; 34: 48-57.
Changus GW. Osteoblastic hyperplasia of bone. A histochemical appraisal of fibrous dysplasia of bone. Cancer 1957; 10: 1157-61.
Schlumberger HG. fibrous dysplasia of single bones (monostotic fibous dysplasia). Milit Surgeon 1947; 99:504-27.
Oliveira, RCB et al. Displasia fibrosa do osso temporal: relato de dois casos. Revista Brasileira de Otorrinolaringologia,SÃ£o Paulo. Brasil, 2004 v. v.70, n.n.5, p. 695-700.
Schwartz DT, Alpert M. The malignant transformation of fibrous dysplasia. Am J Med Sci 1964; 247:35-54.
Castellanos GonzÃ¡lez JA, Leal MursulÃ A, Adefna PÃ©rez RI, et al. Osteoblastoma monostÃ³tico costal: presentaciÃ³n de un caso y re- visiÃ³n de la literatura / Costal monostotic osteoblastoma: a case report and literature review. Rev Cuba Cir 2009;48(1)
Soares VYR, Silva TO, Cunha RLLS, et al. Displasia fibrosa reci- divante de antro maxilar com invasÃ£o de base do crÃ¢nio. Arq Int Otorrinolaringol 2009;13(3):331-5.
Smoutha E, Edelstein D, Parisier S. Fibrous dysplasia involving the temporal bone: report of three new cases. Am J Otol 1987; 8(2): 103-7.
Gross CW, Montgomery WW. Fibrous dysplasia and malignant degeneration. Arch Otolaryngol 1967; 85:653-7.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aÂ Creative Commons Attribution LicenseÂ that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeÂ The Effect of Open AccessÂ and Benefits of Publishing Open Access).