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[Study on the surgery treatments in patients with maxillary osteofibrous hyperplasia of bone]
Youzhong Li1, Shenglei Ge, Xinming Yang
1Department of Otorhinolaryngology-Head and Neck Surgery, Second Xiangya Hospital of Central South University, Changsha 410011, China. liyouzhong196311@yahoo.com.cn
Objective:
To explore the clinical features, diagnosis and the surgery therapy of maxillary fibrous hyperplasia of bone.
Method:
The clinical data of 37 cases with maxillary fibrous hyperplasia of bone from 1987-2006 years were retrospectively analyzed. 19 cases of male and 18 cases of female, their average age is 22.5 years (17-35 years). Twenty-one cases were operated by Caldwell-lud or lateral rhinotomy operation. After 1997, 16 cases were operated by Caldwell-lud operation with endoscopy so as to strip hyperplasia bone.
Result:
Thirty-six cases were cured within 2-4 years follow-up, 1 case was reoperated by Caldwell-lud operation with endoscopy after recurrence. The patients who received operation by Caldwell-lud operation with endoscopy had less symptoms in the inflation deformity of maxillofacial region and dysfunction of neighbouring structures than those who received traditional operation.
Conclusion:
The diagnosis can be made by history, signs and radiography. Caldwell-lud operation with nasal endoscopy is more effective treatment, and advocated in clinical practice.
