Midfacial degloving approach for management of the maxillary fibrous dysplasia: a case report
10.1186/s40902-018-0177-x
- Author:
Miju KANG
1
;
Yu Jin JEE
;
Deok Won LEE
;
Sang Pil JUNG
;
Se Won KIM
;
Sunin YANG
;
Dong Mok RYU
Author Information
1. Department of Oral and Maxillofacial Surgery, Dental Hospital, Kyung-hee University Hospital at Gang-dong, #892 Dongnam-ro, Gangdong-gu, Seoul, 05278 Republic of Korea. dmryu@khu.ac.kr.
- Publication Type:Case Report
- Keywords:
Fibrous dysplasia;
Midfacial degloving;
Fibro-osseous lesion;
Benign tumor
- MeSH:
Anesthesia, General;
Cicatrix;
Connective Tissue;
Facial Asymmetry;
Facial Bones;
Fibrous Dysplasia, Monostotic;
Follow-Up Studies;
Humans;
Maxilla;
Photography;
Recurrence
- From:Maxillofacial Plastic and Reconstructive Surgery
2018;40(1):38-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Fibrous dysplasia (FD) is a benign bone lesion characterized by the progressive replacement of normal bone with fibro-osseous connective tissue. The maxilla is the most commonly affected area of facial bone, resulting in facial asymmetry and functional disorders. Surgery is an effective management option and involves removing the diseased bone via an intraoral approach: conservative bone shaving or radical excision and reconstruction. CASE PRESENTATION: This case report describes a monostotic fibrous dysplasia in which the patient’s right midface had a prominent appearance. The asymmetric maxillary area was surgically recontoured via the midfacial degloving approach under general anesthesia. Follow-up photography and radiographic imaging after surgery showed the structures were in a stable state without recurrence of the FD lesion. Furthermore, there were no visible scars or functional disability, and the patient reported no postoperative discomfort. CONCLUSIONS: In conclusion, the midfacial degloving approach for treatment of maxillary fibrous dysplasia is a reliable and successful treatment option. Without visible scars and virtually free of postoperative functional disability, this approach offers good exposure of the middle third of the face for treatment of maxillary fibrous dysplasia with excellent cosmetic outcomes.
