Craniofacial Orbito Palpebral Service, Chelsea & Westminster Hospital, 369 Fulham Road, London, United Kingdom.
J Plast Reconstr Aesthet Surg. 2011 Dec;64(12):1661-4. doi: 10.1016/j.bjps.2011.05.033. Epub 2011 Jul 8.
Ossifying fibroma is a rare benign tumour of the craniofacial skeleton, which can have an aggressive biological behaviour in the paediatric population. Complete surgical excision, where possible, is the ideal. This case report discusses the multidisciplinary, surgical management of two complex cases of large juvenile ossifying fibroma (JOF), involving the orbit. Both patients underwent resection of the orbital ossifying fibroma with no macroscopic evidence of recurrence at 4 years follow-up. Full functional outcome was achieved with preservation of vision and facial nerve function as well as good facial symmetry and aesthetics. The successful surgical outcome of these cases was due to a combination of a multidisciplinary team approach, rigorous pre-operative planning, maximal tumour resection, and the use of a novel surgical technique involving a medial zygomatic-orbito-maxillary rotational osteotomy.
骨化性纤维瘤是一种罕见的颅面骨骼良性肿瘤，在儿科人群中可能具有侵袭性的生物学行为。尽可能完全手术切除是理想的。本病例报告讨论了两例涉及眼眶的大型青少年骨化性纤维瘤（JOF）的多学科、手术治疗。两名患者均接受了眼眶骨化性纤维瘤切除术，4 年随访时无肉眼复发证据。通过保留视力和面神经功能以及良好的面部对称性和美学效果，实现了完全的功能结果。这些病例的成功手术结果归因于多学科团队方法、严格的术前规划、最大限度的肿瘤切除以及使用涉及内侧颧骨-眶-上颌旋转截骨术的新手术技术的结合。
