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下颌骨单发性骨纤维异常增殖症

Monostotic fibrous dysplasia of the mandible.

作者信息

De Melo Willian Morais, Sonoda Celso Koogi, Hochuli-Vieira Eduardo

机构信息

Oral and Maxillofacial Surgery Program, UNESP, Surgery and Integrated Clinic Department, Araçatuba Dental School, São Paulo State University, Araraquara, São Paulo, Brazil.

出版信息

J Craniofac Surg. 2012 Sep;23(5):e452-4. doi: 10.1097/SCS.0b013e318262d9b1.

Abstract

Fibrous dysplasia is a benign fibro-osseous disease that affects 1 or more bones. Deformities leading to aesthetic and functional disorders are observed in almost all cases. Plastic surgery is often recommended when the jaws are involved. Monostotic fibrous dysplasia of the mandible is an unusual manifestation of the disease that is usually benign, occurs in young individuals, and is managed by conservative curettage or debridement, such as surgical sculpting. The authors report a case of a 15-year-old patient with a large monostotic fibrous dysplasia located in the right mandible, which was treated by contouring bone. The lesion did not recur on follow-up for 4 years after the surgical procedure.

摘要

骨纤维异常增殖症是一种影响一根或多根骨骼的良性纤维-骨疾病。几乎在所有病例中都可观察到导致美观和功能障碍的畸形。当累及颌骨时,通常建议进行整形手术。下颌骨单发性骨纤维异常增殖症是该疾病的一种不寻常表现,通常为良性,发生于年轻人,通过保守刮除或清创术(如手术塑形)进行治疗。作者报告了一例15岁患者,其右下颌骨患有大型单发性骨纤维异常增殖症,通过骨轮廓塑形进行治疗。手术后4年的随访中,病变未复发。

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