Abstract
A 10-year-old girl presented with facial asymmetry associated with bulging of the right fronto-orbital region with no symptoms. Computed tomography demonstrated enlargement of the right zygomatic, frontal, ethmoid, and sphenoid bones. Abnormal proliferation of the bone had obliterated the sphenoid, right frontal sinus, and right ethmoid sinuses. These radiological findings suggested right optic nerve compression due to fibrous dysplasia. Right optic canal decompression was performed. In preparation for recurrence, the resulting bone defect in the right orbital roof was reconstructed using the outer table of the split lesion bone. The removed frontal bone was divided into intact and lesioned parts, and the intact part was returned. The lesioned part was split and the outer table graft used to reconstruct the frontal region. A temporal musculopericranial flap was used to form a barrier between the opened ethmoid sinus and cranial cavity. A protrusion appeared on the left forehead 10 years later, and was shaved to improve the aesthetic appearance. The patient was followed up for a total of 23 years. The use of dysplastic bone involves the risk of recurrence, but the period of recurrence is delayed and the progression stops after adolescence, so the second operation involved only shaving for aesthetic appearance. This procedure is one of the treatments of choice because of easy reconstruction, easy revision, and good results.
| Original language | English |
|---|---|
| Pages (from-to) | 857-860 |
| Number of pages | 4 |
| Journal | Neurologia Medico-Chirurgica |
| Volume | 51 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - 2011 Dec 25 |
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Keywords
- Autogenous graft
- Craniofacial surgery
- Dysplastic bone
- Fibrous dysplasia
- Reconstruction
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Long-term outcome of fibrous dysplasia : Reconstruction with dysplastic bone. / Sakamoto, Yoshiaki; Nakajima, Hideo; Tamada, Ikkei; Kishi, Kazuo; Kawase, Takeshi.
In: Neurologia Medico-Chirurgica, Vol. 51, No. 12, 25.12.2011, p. 857-860.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Long-term outcome of fibrous dysplasia
T2 - Reconstruction with dysplastic bone
AU - Sakamoto, Yoshiaki
AU - Nakajima, Hideo
AU - Tamada, Ikkei
AU - Kishi, Kazuo
AU - Kawase, Takeshi
PY - 2011/12/25
Y1 - 2011/12/25
N2 - A 10-year-old girl presented with facial asymmetry associated with bulging of the right fronto-orbital region with no symptoms. Computed tomography demonstrated enlargement of the right zygomatic, frontal, ethmoid, and sphenoid bones. Abnormal proliferation of the bone had obliterated the sphenoid, right frontal sinus, and right ethmoid sinuses. These radiological findings suggested right optic nerve compression due to fibrous dysplasia. Right optic canal decompression was performed. In preparation for recurrence, the resulting bone defect in the right orbital roof was reconstructed using the outer table of the split lesion bone. The removed frontal bone was divided into intact and lesioned parts, and the intact part was returned. The lesioned part was split and the outer table graft used to reconstruct the frontal region. A temporal musculopericranial flap was used to form a barrier between the opened ethmoid sinus and cranial cavity. A protrusion appeared on the left forehead 10 years later, and was shaved to improve the aesthetic appearance. The patient was followed up for a total of 23 years. The use of dysplastic bone involves the risk of recurrence, but the period of recurrence is delayed and the progression stops after adolescence, so the second operation involved only shaving for aesthetic appearance. This procedure is one of the treatments of choice because of easy reconstruction, easy revision, and good results.
AB - A 10-year-old girl presented with facial asymmetry associated with bulging of the right fronto-orbital region with no symptoms. Computed tomography demonstrated enlargement of the right zygomatic, frontal, ethmoid, and sphenoid bones. Abnormal proliferation of the bone had obliterated the sphenoid, right frontal sinus, and right ethmoid sinuses. These radiological findings suggested right optic nerve compression due to fibrous dysplasia. Right optic canal decompression was performed. In preparation for recurrence, the resulting bone defect in the right orbital roof was reconstructed using the outer table of the split lesion bone. The removed frontal bone was divided into intact and lesioned parts, and the intact part was returned. The lesioned part was split and the outer table graft used to reconstruct the frontal region. A temporal musculopericranial flap was used to form a barrier between the opened ethmoid sinus and cranial cavity. A protrusion appeared on the left forehead 10 years later, and was shaved to improve the aesthetic appearance. The patient was followed up for a total of 23 years. The use of dysplastic bone involves the risk of recurrence, but the period of recurrence is delayed and the progression stops after adolescence, so the second operation involved only shaving for aesthetic appearance. This procedure is one of the treatments of choice because of easy reconstruction, easy revision, and good results.
KW - Autogenous graft
KW - Craniofacial surgery
KW - Dysplastic bone
KW - Fibrous dysplasia
KW - Reconstruction
UR - http://www.scopus.com/inward/record.url?scp=84455181447&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84455181447&partnerID=8YFLogxK
U2 - 10.2176/nmc.51.857
DO - 10.2176/nmc.51.857
M3 - Article
C2 - 22198111
AN - SCOPUS:84455181447
VL - 51
SP - 857
EP - 860
JO - Neurologia Medico-Chirurgica
JF - Neurologia Medico-Chirurgica
SN - 0470-8105
IS - 12
ER -