Bone contouring surgery in a patient with zygomaticomaxillary fibrous dysplasia
Keywords:
abnormalities, facial asymmetry, fibrous dysplasia of bone, surgery.Abstract
Introduction: Fibrous dysplasia is a rare benign condition in which bone is replaced by connective tissue. Virtual planning and cutting guidance allow for more predictable results with minimal morbidity.
Objective: To propose a new conservative surgical technique for the treatment of craniofacial fibrous dysplasia.
Case report: Male patient with a diagnosis of zygomaticomaxillary fibrous dysplasia, presented due to increased volume in the right zygomaticomaxillary region of 6 months of evolution, asymptomatic and hard in consistency. The main reason for consultation was not being satisfied with his facial asymmetry. Bone contouring was performed by obtaining a preformed cutting guide on a stereolithographic model.
Conclusions: The creation of a personalized surgical guide with depth measurements offers a solution to the difficulty of conventional bone contouring.
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References
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2. L hattacharya S, Mishra RK. Fibrous dysplasia and cherubism. Indian J Plast Surg. 2015; 48(3):236-48. DOI: 10.4103/0970-0358.173101
3. Martini M, Klausing A, Heim N, Fischer HP, Sommer A, Reich RH. Fibrous dysplasia imitating malignancy. J Craniomaxillofac Surg. 2018;46(8):1313-1319. DOI: 10.1016/j.jcms.2018.05.019
4. Kim DY. Current concepts of craniofacial fibrous dysplasia: pathophysiology and treatment. Arch Craniofac Surg. 2023; 24(2):41-51. DOI: 10.7181/acfs.2023.00101
5. Gupta D, Garg P, Mittal A. Computed Tomography in Craniofacial Fibrous Dysplasia: A Case Series with Review of Literature and Classification Update. Open Dent J. 2017; 11:384-403. DOI: 10.2174/1874210601711010384
6. Sweeney J, McCann C, McLaughlin P. The importance of casting an eye beyond the dental arch: A case report. J Orthod. 2022 Mar;49(1):79-82. DOI: 10.1177/14653125211021871
7. Elhadidy M, Mamdouh A, Ali S. Computer-guided contouring of craniofacial fibrous dysplasia involving fronto-orbital or fronto-cranial region using patient specific surgical depth guide: A prospective case series. Journal of Cranio-Maxillofacial Surgery . 2023; 51(5): 297-302. DOI: 10.1016/j.jcms.2023.05.004
8. Burke AB, Collins MT, Boyce AM. Fibrous dysplasia of bone: craniofacial and dental implications. Oral Dis. 2017;23(6):697-708. DOI: 10.1111/odi.12563
9. Gibelli D, Cellina M, Gibelli S, Oliva AG, Termine G, Pucciarelli V, et al. Assessing symmetry of zygomatic bone through three-dimensional segmentation on computed tomography scan and ''mirroring'' procedure: a contribution for reconstructive maxillofacial surgery. J Craniomaxillofac Surg. 2018; 46(4):600-604. DOI: 10.1016/j.jcms.2018.02.012
10. Gawande MJ, Lambade PN, Bande C, Gupta MK, Mahajan M, Dehankar T. Two-Point versus Three-Point Fixation in the Management of Zygomaticomaxillary Complex Fractures: A Comparative Study. Ann Maxillofac Surg. 2021; 11(2):229-235. DOI: 10.4103/ams.ams_75_20
11. Vigo V, Cornejo K, Nunez L, Abla A, Rodriguez Rubio R. Immersive Surgical Anatomy of the Craniometric Points. Cureus. 2020; 12(6):e8643. DOI: 10.7759/cureus.8643
12. Semper-Hogg W, Fuessinger MA, Schwarz S, Ellis 3rd E, Cornelius CP, Probst F, et al. Virtual reconstruction of midface defects using statistical shape models. J Craniomaxillofac Surg. 2017; 45(4):461-466. DOI: 10.1016/j.jcms.2016.12.020
13. Gass M, Füßinger M, Metzger M, Schwarz S, Bähr J, Brandenburg L, et al. Virtual reconstruction of orbital floor defects using a statistical shape model. Journal of Anatomy. 2022; 240(2):323-329. DOI: 10.1111/joa.13550
14. Belcastro A, Willing R, Jenkyn T, Johnson M, Galil K, Yazdani A. A three-dimensional analysis of zygomatic symmetry in normal, uninjured faces. J Craniofac Surg. 2016; 27(2):504-8. DOI: 10.1097/SCS.0000000000002210
15. Vatankhah R, Etezad Razavi M, Nekooei S, Khadem Rezaiyan M, Tafaghodi Yousefi B, Karimi Moonaghi H, et al. Three-dimensional (3D) Visualization Educational Modeling for Ophthalmology Residents' Training: Viewpoints. Med J Islam Repub Iran. 2022; 36:115. DOI: 10.47176/mjiri.36.115
16. Bernaola-Paredes WE, Veronese HRM, de Andrade Celestino M, Martins IS, de Arruda AF, Vallejo-Rosero KA. An Atypical Bilateral Presentation of Fibrous Dysplasia (FD) in the Mandible: Clinical, imaging and therapeutic characterization. Int J Surg Case Rep. 2021;84:106049. DOI: 10.1016/j.ijscr.2021.106049
17. Wu H, Yang L, Li S, Jin X, Xu J, Lu J, et al. Clinical characteristics of craniomaxillofacial fibrous dysplasia. J Craniomaxillofac Surg. 2014;42(7):1450-5. DOI: 10.1016/j.jcms.2014.04.009
Published
2024-02-09
How to Cite
1.
Prada Vidarte OE, Julián Castrejón A, Malanche Abdalá G, Cossio Alva BA, Herrera-Plasencia PM. Bone contouring surgery in a patient with zygomaticomaxillary fibrous dysplasia. Rev Cubana Med Milit [Internet]. 2024 Feb. 9 [cited 2025 Jun. 6];53(1):e024021717. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/21717
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