Kowalik S, Janicki W, Halczy-Kowalik L, Mazuryk R
Kliniki Chirurgii Szczekowo-Twarzowej PAM w Szczecinie.
Otolaryngol Pol. 1996;50(3):263-71.
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.
对30例颅颌面骨纤维异常增殖症患者进行了治疗。其中单骨型21例，多骨型9例，累及双侧颌骨及颅骨。大多数患者年龄在40岁以下。所有患者的病变均导致面部不对称，其中2例出现视力障碍和眼眶移位，1例出现听力丧失。通过组织学评估病变以进行准确诊断。手术治疗原则基于受累区域。治疗旨在纠正功能问题并实现面部美观。采用保守的面部美观方案。2例患者进行了保守性刮除术。面部下部对发育异常的骨进行了根治性切除。下颌骨和上颌骨病例采用游离骨移植进行重建。颅底肿瘤切除的根治性较低，采用异体植入物进行重建。未发现纤维异常增殖症复发或侵犯移植骨。
