Arch Craniofac Surg.  2018 Sep;19(3):200-204. 10.7181/acfs.2018.00052.

Treatment of fibrous dysplasia of the zygomaticomaxillary complex with radical resection and three-dimensional reconstruction with autologous calvarial bone graft

• Ahn SJ
• Hong JW
• Kim YO
• Lew DH
• Lee WJ

• KMID: 2422464
• DOI: http://doi.org/10.7181/acfs.2018.00052

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.

Keyword

Maxilla; Bone transplantation; Bone disease; Reconstructive surgical procedures

MeSH Terms

Bone Diseases
Bone Transplantation
Fibroblasts
Follow-Up Studies
Humans
Maxilla
Parietal Bone
Reconstructive Surgical Procedures
Tissue Donors
Transplants*