Craniofacial fibrous dysplasia and Ollier's disease: combined transfrontal and transfacial resection using the nasal-cheek flap.
Fibrous dysplasia and Ollier's disease (skeletal chondromatosis) are bone lesions that result from disorders occurring during ossification. Here we report on a patient suffering from Ollier's disease in whom polyostotic fibrous dysplasia was detected. The main problem for this 20-year-old man was a nasoethmoidorbital cartilaginous mass causing nasal obstruction, nonreducible eye proptosis, and sleep apnea. The lesion was approached by means of a combined route, ie, transfrontally and transfacially (nasal-cheek flap). The possible pathogenetic links existing between the two lesions and the problems involved in surgical treatment are discussed.
Clauser
L
L
Department of Maxillo-Facial Surgery, S Bortolo Hospital, Vicenza, Italy.
Marchetti
C
C
Piccione
M
M
Bertoni
F
F
D000328:Adult; D002610:Cheek / Q000601:surgery; D004687:Enchondromatosis / Q000150:complications / Q000601:surgery*; D005094:Exophthalmos / Q000209:etiology / Q000601:surgery; D005147:Facial Bones / Q000601:surgery*; D005359:Fibrous Dysplasia, Polyostotic / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods; D013524:Surgical Flaps / Q000379:methods*