Fibrous dysplasia of the mandible: Surgical treatment with platelet-rich plasma and a corticocancellous iliac crest graft-report of a case.
This paper reports on an alternative treatment method for mandibular reconstruction in a very rare symptomatic adult form of fibrous dysplasia. The treatment included excision of all the dysplastic tissue excluding the inner cortex and the lower border of the mandible, where cryosurgery was applied. Platelet-rich plasma was added to the autogenous bone and used to fill dead spaces and interfaces. Three months after reconstruction, implants were inserted in the hard dense bone that showed no resorption. Seven years after surgery, the patient was completely asymptomatic and had an excellent cosmetic outcome. A very simple method, based on a new paradigm approach, provided excellent functional and cosmetic results avoiding complex reconstruction procedures and delayed hospitalization in a patient with fibrous dysplasia.
Mendonça Caridad
Jose Joaquín
JJ
Head and Neck Surgery Unit, Hospital POLUSA, Lugo, Spain. joaquin@cirujanosdelmundo.com
Platas
Fernandez
F
D000328:Adult; D001672:Biocompatible Materials / Q000627:therapeutic use*; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods; D005260:Female; D005358:Fibrous Dysplasia, Monostotic / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D053657:Platelet-Rich Plasma; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome
D001672:Biocompatible Materials