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A Massive Craniofacial Polyostotic Fibrous Dysplasia of Midface - A Rare Case Report
Udupi Krishna Joshi1, Satishkumar G Patil1, Sowmya Thaminidi1
1Department of Oral and Maxillofacial Surgery, HKE's S Nijalingappa Institute of Dental Sciences and Research, Kalaburagi, Karnataka, India.
Rationale:
Fibrous dysplasia (FD) is a fibro-osseous lesion of the osseous structures of the body. With an incidence of 1:4000-1:10,000, it seems to be a rare disease. Polyostotic craniofacial fibrous dysplasia involves the skull base bones and facial bones.
Patient Concerns:
The patient complained of a huge swelling over the right side of her face for the past 12 years.
Diagnosis:
Based on clinical, radiological and histopathological findings, the swelling was diagnosed as polyostotic craniofacial FD.
Treatment:
Swelling over the right side of the midface around 6 cm × 5 cm involving right maxilla, zygoma, floor of orbit, lateral side of nose (pyriform aperture) and skull base bones. Since the patient had no functional deficit, we opted for surgical recontouring.
Outcomes:
The patient was satisfied with post-operative results.
Take-Away Lessons:
In huge asymptomatic facial deformity, rather than going for resection, we can remove bone in a piecemeal manner followed by recontouring.
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