Eachempati Prashanti, Aggarwal Himanshi, Shenoy Vidya, Baliga Mohan
Department of Prosthodontics, Melaka Manipal Medical University, Melaka, Malaysia.
Deptartment of Prosthodontics, King George's Medical University, Lucknow, India.
BMJ Case Rep. 2015 Aug 5;2015:bcr2015210330. doi: 10.1136/bcr-2015-210330.
Fibrous dysplasia is a non-neoplastic hamartomatous developmental fibro-osseous lesion of bone. Monostotic fibrous dysplasia is more common than the polyostotic form and usually involves jaw bones, ribs and femur. Maxillary lesions may extend to involve the maxillary sinus, zygoma, sphenoid bone and floor of the orbit and require surgical intervention resulting in an acquired defect of the involved site. A multidisciplinary team approach involving an oral pathologist, oral surgeon, oral medicine expert and maxillofacial prosthodontist is required for successful treatment and rehabilitation of such patients. This article describes a case of a patient with fibrous dysplasia of the left maxilla, which was successfully managed by integrating surgical intervention and postoperative rehabilitation, with a surgical obturator and an interim partial denture prosthesis that successfully limited the detrimental effects of surgery, and helped the patient in resocialisation, thereby improving her quality of life.
骨纤维异常增殖症是一种非肿瘤性错构瘤样发育性骨纤维-骨病变。单发性骨纤维异常增殖症比多发性形式更为常见,通常累及颌骨、肋骨和股骨。上颌病变可能扩展至累及上颌窦、颧骨、蝶骨和眶底,需要手术干预,从而导致受累部位出现后天性缺损。对于此类患者的成功治疗和康复,需要一个由口腔病理学家、口腔外科医生、口腔医学专家和颌面修复专家组成的多学科团队协作。本文描述了一例左上颌骨纤维异常增殖症患者的病例,该病例通过整合手术干预和术后康复得以成功治疗,采用手术阻塞器和临时局部义齿修复体成功限制了手术的有害影响,并帮助患者重新融入社会,从而提高了她的生活质量。