Fibrous dysplasia was first described as a disease entity by Leichtenstein in 1938.
Fibrous dysplasia is characterized by proliferation of connective tissue within a bone, which may produce cortical expansion. When facial bones are involved, considerable esthetic deformity may result.
Monostotic fibrous dysplasia affects the maxilla more frequently than the mandible.
Someone reported an equal predilection for male and female, but others a greater incidence in female.
Monostotic fibrous dysplasia is more common in children and young adults.
The lesion grown very slowly, causing expansion of the involved bone which may produce a nontender facial asymmetry. As a role, the lesion stops growing when skeletal growth ceases.
Historical clinical radiographic and histological data are all essential to confirm the diagnosis of fibrous dysplasia.
The treatment of choice is surgical, depending upon the size and consistency of the lesion as ascertained by the radiographic picture and by biopsy. In the osteolytic type, radical curretage is indicated, whereas in the more mature, solid type, surgical shaving or recontouring is indicated.
Authors report a case of monostotic fibrous dysplasia on the left maxilla. Surgical shaving of the involved left midfacial area through intraoral approch was done in good result.
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