A clinicoradiologic analysis of symptomatic craniofacial fibro-osseous lesions.
OBJECTIVE
To outline the clinical and radiologic aspects of symptomatic craniofacial fibro-osseous lesions and to study the appropriate surgical management with follow-up results.


METHODS
A retrospective review of 11 patients who underwent surgical treatment during 1985 to 2004 in a tertiary health care center.


RESULTS
Most (72.7%) cases were of fibrous dysplasia and were under 25 years of age (72%). Maxilla was the most common bone involved (81%). Lateral rhinotomy was the main approach for surgical resection. One patient underwent bilateral optic nerve decompression (left side therapeutic and on right side prophylactic). Six (54.5%) cases had recurrences that were managed by either radical surgery (total maxillectomy) or by further shaving off the lesion.


CONCLUSIONS
Treatment of craniofacial fibro-osseous lesions is highly individualized. A conservative approach may not be able to treat all cases of craniofacial fibro-osseous lesions. A more radical approach that includes a craniofacial resection or a total maxillectomy may be warranted in few cases.
Panda
Naresh K
NK
Department of Otolaryngology-Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh-160012, India. npanda59@yahoo.com
Parida
Pradipta K
PK
Sharma
Ramesh
R
Jain
Ajay
A
Bapuraj
Jayapalli Rajiv
JR
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D018214:Fibroma, Ossifying / Q000000981:diagnostic imaging* / Q000601:surgery; D005357:Fibrous Dysplasia of Bone / Q000000981:diagnostic imaging* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012886:Skull / Q000000981:diagnostic imaging* / Q000601:surgery; D012888:Skull Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed