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Fibrous dysplasia.

D Kearns¹, T McGill, W Potsic

¹Department of Otolaryngology, University of California, San Diego.

|November 1, 1992

Summary

This case focuses on managing fibroosseous lesions, likely fibrous dysplasia. Surgery is reserved for functional or cosmetic issues, with varied consultant approaches for optimal patient outcomes.

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Area of Science:

Oral and Maxillofacial Surgery
Neurosurgery
Ophthalmology
Radiology

Background:

Fibroosseous lesions present diagnostic challenges, with fibrous dysplasia being a primary consideration.
Consultant agreement on diagnosis based on history, physical, and CT scans.
Varied recommendations for further diagnostic imaging, including bone scans, CT, and MRI.

Observation:

Key concerns include cosmetic and functional deficits such as orbital compression, malocclusion, and nasal obstruction.
Benign and slow-growing nature of the lesion suggests conservative management.
Disagreement among consultants regarding the optimal surgical approach, including midface degloving and lateral rhinotomy.

Findings:

Consensus supports surgical intervention only when functional or cosmetic compromise is evident.
Postoperative assessment relies on clinical examination and serial CT scans.
No concerns were raised regarding sarcomatous transformation of the lesion.

Implications:

Establishes a consensus for conservative management of fibroosseous lesions, reserving surgery for significant functional or cosmetic impairment.
Highlights the importance of multidisciplinary consultation in determining the most appropriate surgical strategy.
Emphasizes the need for vigilant postoperative monitoring through clinical evaluation and advanced imaging techniques.

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