Maxillofac Plast Reconstr Surg.  2018 ;40(1):38. 10.1186/s40902-018-0177-x.

Midfacial degloving approach for management of the maxillary fibrous dysplasia: a case report

• Kang M
• Jee YJ
• Lee DW
• Jung SP
• Kim SW
• Yang S
• Ryu DM

• KMID: 2431961
• DOI: http://doi.org/10.1186/s40902-018-0177-x

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.

Keyword

Fibrous dysplasia; Midfacial degloving; Fibro-osseous lesion; Benign tumor

MeSH Terms

Anesthesia, General
Cicatrix
Connective Tissue
Facial Asymmetry
Facial Bones
Fibrous Dysplasia, Monostotic
Follow-Up Studies
Humans
Maxilla
Photography
Recurrence