title: Surgical treatment of craniomaxillofacial fibrous dysplasia: functionally or aesthetically?
abstract: BACKGROUND
  Fibrous dysplasia (FD) is a tumor-like growth that consists of replacement of the medullary bone with fibrous tissue, causing the expansion and weakening of the areas of bone involved. The most commonly affected bones are facial bones, causing a number of facial cosmetic and functional problems.
  
  
  METHODS
  From December 2008 to July 2012, 10 patients with craniomaxillofacial fibrous dysplasia were treated by conservative resection and local recontouring. The patients were followed up yearly, with an average of 3 years; the longest follow-up period was 5 years.
  
  
  RESULTS
  All the 10 patients received appropriate treatment and histopathological examinations were performed to confirm the diagnosis of FD. Four patients with zygoma involved had received partial zygoma osteoectomy and 2 patients received mandibular partial osteoectomy. Average time of follow-up was 3 years, with a range from 1 to 5 years, and all patients obtained satisfactory aesthetic and functional results.
  
  
  CONCLUSIONS
  In most patients, a conservative surgery will achieve good functional and aesthetic results. For patients with mild symptoms, the aesthetic effect should be given priority while for the heavier patients the restoration of function and aesthetic effects should all be taken into account.
authors.affiliation: Craniomaxillofacial Surgery Department 2 of Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
authors.forename: Hai-feng
authors.initials: HF
authors.lastname: Zeng
authors.forename: Jian-jian
authors.initials: JJ
authors.lastname: Lu
authors.forename: Li
authors.initials: L
authors.lastname: Teng
authors.forename: Xiao-lei
authors.initials: XL
authors.lastname: Jin
authors.forename: Jia-jie
authors.initials: JJ
authors.lastname: Xu
authors.forename: Chao
authors.initials: C
authors.lastname: Zhang
authors.forename: Mei-bang
authors.initials: MB
authors.lastname: Xu
authors.forename: Fang
authors.initials: F
authors.lastname: Xie
authors.forename: Tian
authors.initials: T
authors.lastname: Tian
authors.forename: Ran
authors.initials: R
authors.lastname: Xu
authors.forename: Huan-huan
authors.initials: HH
authors.lastname: Wu
mesh_terms: D000293:Adolescent; D000328:Adult; D003475:Curettage / Q000379:methods; D004954:Esthetics; D005146:Facial Asymmetry / Q000601:surgery; D005147:Facial Bones / Q000473:pathology / Q000601:surgery*; D005260:Female; D005358:Fibrous Dysplasia, Monostotic / Q000473:pathology / Q000601:surgery; D005359:Fibrous Dysplasia, Polyostotic / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000601:surgery; D008439:Maxillary Diseases / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D012886:Skull / Q000601:surgery*; D055815:Young Adult; D015050:Zygoma / Q000601:surgery