[Transcranial surgical correction of cranio-orbital fibrous dysplasia with lateral orbital approach].
OBJECTIVE
To explore the transcranial surgical method with lateral orbital approach for the treatment of cranio-orbital fibrous dysplasia.


METHODS
Lateral orbital transcranial extradural approach was adopted to correct complicated fibrous dysplasia in which the frontal, orbital, sphenoid, temporal bones were involved. Partial lesion removal and optic nerve decompression were performed through the transcranial extradural route by fronto-temporal cranial bone flap exposure. The fronto-orbital skeleton was shaped after bone flap deactivation.


RESULTS
8 cases were treated successfully with no complication. The period of follow-up ranged from 9 months to 3 years. The appearance and the vision improved greatly. Cranial CT showed good bony union with no relapse.


CONCLUSIONS
Lateral orbital transcranial surgical approach is an optimal technique to correct cranio-orbital fibrous dysplasia.
Yang
Xian-xian
XX
Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Guo
Zhi-lin
ZL
Mu
Xiong-zheng
XZ
Yu
Zhe-yuan
ZY
D000293:Adolescent; D000328:Adult; D005260:Female; D005357:Fibrous Dysplasia of Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D009915:Orbit / Q000601:surgery; D009916:Orbital Diseases / Q000601:surgery*; D012886:Skull / Q000601:surgery; D055815:Young Adult