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Published in: Oral and Maxillofacial Surgery 3/2018

01-09-2018 | Case Report

Expansive renal osteitis fibrosa: a case report

Authors: Gabriel Silva Andrade, Abrahão Cavalcante Gomes de Souza Carvalho, Tibério Gomes Magalhães, Edson Luiz Cetira Filho, Roberta Barroso Cavalcante, Renato Luiz Maia Nogueira

Published in: Oral and Maxillofacial Surgery | Issue 3/2018

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Abstract

Hyperparathyroidism (HPT) is an endocrine metabolic disorder characterized by increased secretion of parathyroid hormone. Untreated secondary HPT leads to renal osteodystrophy (ROD). Facial skeletal abnormalities in patients with ROD are rare. The purpose of this paper is to report a conservative surgical approach of exuberant osteitis fibrosa lesions in patient with chronic kidney disease. A 24-year-old female was referred to maxillofacial surgery department with giants ROD affecting palate, maxilla, and mandible, resulting in esthetic and functional impairment. The pathogeneses and multidisciplinary management of ROD are discussed with a brief literature review. Eight years after the conservative treatment of exuberant jaw lesions, no noticeable bone changes were observed in the patient. A multidisciplinary therapy is essential for correct diagnosis of ROD and optimal multimodality treatment. The conservative management was an efficient alternative for the success of the case reported.
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Metadata
Title
Expansive renal osteitis fibrosa: a case report
Authors
Gabriel Silva Andrade
Abrahão Cavalcante Gomes de Souza Carvalho
Tibério Gomes Magalhães
Edson Luiz Cetira Filho
Roberta Barroso Cavalcante
Renato Luiz Maia Nogueira
Publication date
01-09-2018
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 3/2018
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-018-0697-7

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