Midfacial degloving approach for management of the maxillary fibrous dysplasia: a case report
Kang Mi-Ju, 지유진, 이덕원, 정상필, 김세원, Yang Sun-In, 류동목,
소속 상세정보
( Kang Mi-Ju ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
지유진 ( Jee Yu-Jin ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
이덕원 ( Lee Deok-Won ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
정상필 ( Jung Sang-Pil ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
김세원 ( Kim Se-Won ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
( Yang Sun-In ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
류동목 ( Ryu Dong-Mok ) - Kyung Hee University Kyung Hee University Dental Hospital at Gangdong Department of Oral and Maxillofacial surgery
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.
키워드
Fibrous dysplasia; Midfacial degloving; Fibro-osseous lesion; Benign tumor
원문 및 링크아웃 정보
등재저널 정보