Treatment of fibrous dysplasia of the zygomaticomaxillary complex with radical resection and three-dimensional reconstruction with autologous calvarial bone graft.
- Author:
Sung Jae AHN
1
;
Jong Won HONG
;
Yong Oock KIM
;
Dae Hyun LEW
;
Won Jai LEE
Author Information
- Publication Type:Case Report
- Keywords: Maxilla; Bone transplantation; Bone disease; Reconstructive surgical procedures
- MeSH: Bone Diseases; Bone Transplantation; Fibroblasts; Follow-Up Studies; Humans; Maxilla; Parietal Bone; Reconstructive Surgical Procedures; Tissue Donors; Transplants*
- From:Archives of Craniofacial Surgery 2018;19(3):200-204
- CountryRepublic of Korea
- Language:English
- Abstract: Fibrous dysplasia (FD) is a rare, benign bone disease with abnormal bone maturation and fibroblastic proliferation. Optimal treatment of zone 1 craniofacial FD is radical resection and reconstruction. To achieve of structural, aesthetic, and functional goals, we use three-dimensionally designed calvarial bone graft for reconstruction of zygomatic defect after radical resection of FD. The authors used a rapid-prototyping model for simulation surgery for radical resection and immediate reconstruction. Donor site was selected from parietal bone reflect shape, contour, and size of defect. Then radical resection of lesion and immediate reconstruction was performed as planned. Outcomes were assessed using clinical photographs and computed tomography scans. Successful reconstruction after radical resection was achieved by three-dimensional calvarial bone graft without complications. After a 12-month follow-up, sufficient bone thickness and symmetric soft tissue contour was well-maintained. By considering three-dimensional configuration of zygomaticomaxillary complex, the authors achieved satisfactory structural, aesthetic and functional outcomes without complications.
