BACKGROUND: To date, there is no consensus regarding the best surgical approach (conservative or radical) for craniofacial fibrous dysplasia. This study presented the experience of a single institution in the surgical treatment of craniofacial fibrous dysplasia.
METHOD: This was a retrospective analysis of patients with craniofacial fibrous dysplasia who underwent surgery between 1997 and 2012. Surgical treatment was individualized according to patient age, the involved anatomical site (zones I-IV), aesthetic and/or functional impairment, and the preferences of the patients and surgical team. The surgical results were classified on the basis of the Whitaker system.
RESULTS: Ten, 1, 1, and 1 patients with zone I, zone II, zone I/II, and zone I/IV involvement, respectively, were included in the study. In total, conservative surgeries and 9 radical surgeries were performed for the treatment of primary bone tumors. There was 1 surgical complication, and 6 recurrences were identified during the postoperative follow-up period. The global average of surgical outcomes, according to the Whitaker scale, was 1.69 ± 0.94.
CONCLUSIONS: According to the experience and surgical results presented in this study, the surgical approach for craniofacial fibrous dysplasia should be individualized.
Keywords: Fibrous dysplasia of bone. Bone neoplasms. Surgical procedures, operative.