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Maxillofacial Plastic and Reconstructive Surgery
Published in: Maxillofacial Plastic and Reconstructive Surgery 1/2018

Open Access 01-12-2018 | Case report

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

Authors: Miju Kang, Yu-jin Jee, Deok won Lee, Sang-pil Jung, Se-won Kim, Sunin Yang, Dong-mok Ryu

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2018

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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.
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Metadata
Title
Midfacial degloving approach for management of the maxillary fibrous dysplasia: a case report
Authors
Miju Kang
Yu-jin Jee
Deok won Lee
Sang-pil Jung
Se-won Kim
Sunin Yang
Dong-mok Ryu
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2018
Electronic ISSN: 2288-8586
DOI
https://doi.org/10.1186/s40902-018-0177-x

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