[Craniomaxillofacial fibrous dysplasias]

Thirty cranio-maxillofacial fibrous dysplasia patients were treated. There were 21 patients with monostotic and 9 patients with multiple lesions both jaws and bones of the skull. Most of the patients were under forty years of age. The lesions caused facial asymmetry in all patients, in two of them was visual disturbances and orbital dystopia, in one patient was hearing loss. The lesions were evaluated histologically that enabled appropriate diagnosis. The principles of surgical treatment were based on the zones of involvement. Treatment was aimed at correcting functional problems and achieving facial aesthetics. Conservative facial aesthetics. Conservative shaving was made in two patients. Radical excision of the dysplastic bone was made in lower parts of the face. In cases of the mandible and maxilla has been made reconstruction with free bone transplants. Tumors of the base of the skull were excised less radically and reconstruction has been made with alloplastic implants. No recurrence or invasion of the fibrous dysplasia into the grafted bone was seen.