A clinicoradiologic analysis of symptomatic craniofacial fibro-osseous lesions

NK Panda, PK Parida, R Sharma… - … —Head and Neck …, 2007 - journals.sagepub.com
Otolaryngology—Head and Neck Surgery, 2007journals.sagepub.com
Objective To outline the clinical and radiologic aspects of symptomatic craniofacial fibro-
osseous lesions and to study the appropriate surgical management with follow-up results.
Study Design and Setting A retrospective review of 11 patients who underwent surgical
treatment during 1985 to 2004 in a tertiary health care center. Results Most (72.7%) cases
were of fibrous dysplasia and were under 25 years of age (72%). Maxilla was the most
common bone involved (81%). Lateral rhinotomy was the main approach for surgical …
Objective
To outline the clinical and radiologic aspects of symptomatic craniofacial fibro-osseous lesions and to study the appropriate surgical management with follow-up results.
Study Design and Setting
A retrospective review of 11 patients who underwent surgical treatment during 1985 to 2004 in a tertiary health care center.
Results
Most (72.7%) cases were of fibrous dysplasia and were under 25 years of age (72%). Maxilla was the most common bone involved (81%). Lateral rhinotomy was the main approach for surgical resection. One patient underwent bilateral optic nerve decompression (left side therapeutic and on right side prophylactic). Six (54.5%) cases had recurrences that were managed by either radical surgery (total maxillectomy) or by further shaving off the lesion.
Conclusion
Treatment of craniofacial fibro-osseous lesions is highly individualized. A conservative approach may not be able to treat all cases of craniofacial fibro-osseous lesions. A more radical approach that includes a craniofacial resection or a total maxillectomy may be warranted in few cases.
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