| Treatment strategies for fibrous dysplasia. | |
| | |
MedLine Citation:
|
PMID: 19480037 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In fibrous dysplasia (FD), growth of the lesions usually arrests around early adolescence. However, in some cases, it continues even after this period, and it is not clear under what kind of conditions this growth continues. If this continued growth could be predicted, it would provide a vital assessment tool to determine when bone contouring should be performed. We were able to find numerous reports about FD concerning surgical procedures, but only a small number included long-term postoperative follow-up. In this paper, we investigated 11 patients with FD who were available for a postoperative follow-up longer than a 10-year period. Of these 11 patients, 6 were male and 5 were female, and the mean initial assessment age was 17.9 years. Three cases were diagnosed as Albright syndrome, 3 as monostotic, and 5 as polyostotic. Regrowth after the operation occurred in 9 of the 11 patients. Among these, growth was arrested in 5 patients at the average age of 23 years, and growth is still being observed in the remaining 4 patients including 3 patients with Albright syndrome. No statistically significant difference was detected between the affected bones and the age of growth arrest, mean age of growth arrest, and sex. Consequently, we believe it is best to perform bone contouring subsequent to growth arrest other than Albright syndrome. When growth continues indefinitely in patients with the polyostotic type, as with Albright syndrome, recurrence of the disease and the resultant deformities are predicted, so complete resection and reconstructive surgery is recommended. |
| | |
Authors:
|
Takako Kusano; Shinichi Hirabayashi; Tomoaki Eguchi; Yasushi Sugawara |
Related Documents
:
|
21082047 - Clinical outcome of cranial neuropathy in patients with pituitary apoplexy. 19828187 - Improvement in buffalo (bubalus bubalis) spermatozoa functional parameters and fertilit... 14530107 - Clinical and operative findings of choledochal cysts in neonates and infants differ fro... 15309917 - Primary hypophysitis: a single-center experience in 16 cases. 23324167 - Cardiac and hepatic iron and ejection fraction in thalassemia major: multicentre prospe... 11733967 - Factors predicting subcutaneous implanted central venous port function: the relationshi... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of craniofacial surgery Volume: 20 ISSN: 1536-3732 ISO Abbreviation: J Craniofac Surg Publication Date: 2009 May |
Date Detail:
|
Created Date: 2009-05-28 Completed Date: 2009-08-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9010410 Medline TA: J Craniofac Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 768-70 Citation Subset: D |
Affiliation:
|
Department of Plastic, Oral and Maxillofacial Surgery, Teikyo University School of Medicine, Itabashi-Ku, Tokyo, Japan. takako173cm@mac.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Age Factors Bone Transplantation Child Clinical Protocols Facial Bones / surgery* Female Fibrous Dysplasia of Bone / surgery* Fibrous Dysplasia, Monostotic / surgery Fibrous Dysplasia, Polyostotic / physiopathology, surgery Follow-Up Studies Frontal Bone / surgery Humans Longitudinal Studies Male Mandibular Diseases / surgery Maxillary Diseases / surgery Osteotomy / methods Reconstructive Surgical Procedures / methods Recurrence Sex Factors Sphenoid Bone / surgery Treatment Outcome Young Adult Zygoma / surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Management of injuries of the orbital skeleton.
Next Document: Excision and "transcutaneous" lift in patients with neurofibromatosis of the fronto-temporo-orbital ...