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Updated: Feb 8, 2026
08:01
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
9.5K
Fibrous Dysplasia: A Complex Maxillary Reconstruction
1Unit of Maxillo-Facial Surgery, University of Rome "Sapienza," Sant'Andrea Hospital, Rome, Italy.
The Journal of Craniofacial Surgery
|June 27, 2018
Summary
Fibrous dysplasia, a benign bone tumor, can affect the jaw. This case details surgical removal of a large maxillary fibrous dysplasia and reconstruction using a custom implant.
Area of Science:
- Oral and Maxillofacial Surgery
- Skeletal Pathology
- Neurosurgery
Background:
- Fibrous dysplasia is a benign skeletal tumor with monostotic and poliostotic forms.
- The maxilla and mandible are frequently affected facial bones.
Observation:
- A 63-year-old patient presented with a 20-year history of progressive left maxillary neoformation.
- The neoformation was diagnosed as a huge maxillary fibrous dysplasia.
Findings:
- Surgical management involved a total maxillectomy.
- Reconstruction utilized a custom-made midface implant combined with temporal and pericranial flaps.
Implications:
- This case highlights a rare presentation of extensive maxillary fibrous dysplasia.
- Successful reconstruction demonstrates the efficacy of custom implants and flap techniques for complex midface defects.
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