In Fibrous dysplasia(FD) of the jaws, the majority of cases can await the cessation of growth before surgical intervention, and it seems prudent to delay surgery whenever possible until growth has ceased. In craniofacial FD, however, the dangers
of
dystopia, diplopia and loss of vision may require early surgery to prevent or control cranio-orbital complications. Delaying surgery in those circumstances may be significantly detrimental to such patients.
Conservative surgical management of FD is widely practised and we advocate an extension to this conservative treatment by combining surgical recontouring with appropriate osteotomies if indicated, to achieve an optimal esthetic and functional in
craniofacial FD.
One case will be presented to illustrate the feasibility of such combined treatment, to report the uneventful healing of osteotomies in the FD of the jaws, ad to demonstrate the use of titanium miniplate fixation in dysplastic bone.
The other case had expansile disease of the left facial and fronto-temporal bones and osteolytic change of left mandible. This patient complained of severe spontaneous bleeding of left mandibular premolar area and it was suspected as central
hemangioma
of the left mandible and craniofacial FD. Angiogram disclosed generalized dilation of the left external carotid artery and its branches, expecially terminal branches of the left facial and inferior alveolar arteries. But no specific
abnormalities,
such
as A-V shunt, venous lake, or early venous drainage, was seen. So it was diagnosed craniofacial FD with hypercellularity and generalized bony recontouring was performed via coronal and transoral approaches.
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