Fibrous dysplasia is characterized by proliferation of connective tissue within a bone, which may produce cortical expansion. Fibrous dysplasia of the maxilla is relatively rare tumor, but presents a difficult cosmetic problem in treatment. The etiology is unknown, but several theories are presented. Symptoms are usually minimal with painless swelling causing facial asymmetry the most common. Treatment is by surgical excision. When fibrous dysplasia of the maxilla, ethmoid, zygoma and palate was developed, extended total maxillecto:ny was necessitated for complete resection of the tumor mass.
Total maxillectomy have frequently brought severe facial deformity and functional impairment. Primary reconstruction aimed at repair of the postoperative facial deformity to improve appearance and function is most advantageous in that it allows sufficient removal of the maxilla and the surrounding tissue without much regard for postoperative facial deformity and functional impairment, thereby expanding the range of indication for maxillectomy as a curative treatment Secondary reconstruction for facial deformity or functional impairment after total maxillectomy never compares favourably with primary reconstruction with respect to the effect of the operation, physical and financial burden on the patient, or the overall length of time spent for treatment.
To minimize these postoperative problems, we have applied primary reconstructive procedures utilizing rib and iliac bone grafting for postoperative defect reconstruction in 2 patients.
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