Multidisciplinary approach for management of a patient with fibrous dysplasia of maxilla

BMJ Case Rep. 2015 Aug 5:2015:bcr2015210330. doi: 10.1136/bcr-2015-210330.

Abstract

Fibrous dysplasia is a non-neoplastic hamartomatous developmental fibro-osseous lesion of bone. Monostotic fibrous dysplasia is more common than the polyostotic form and usually involves jaw bones, ribs and femur. Maxillary lesions may extend to involve the maxillary sinus, zygoma, sphenoid bone and floor of the orbit and require surgical intervention resulting in an acquired defect of the involved site. A multidisciplinary team approach involving an oral pathologist, oral surgeon, oral medicine expert and maxillofacial prosthodontist is required for successful treatment and rehabilitation of such patients. This article describes a case of a patient with fibrous dysplasia of the left maxilla, which was successfully managed by integrating surgical intervention and postoperative rehabilitation, with a surgical obturator and an interim partial denture prosthesis that successfully limited the detrimental effects of surgery, and helped the patient in resocialisation, thereby improving her quality of life.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Fibrous Dysplasia of Bone / diagnostic imaging*
  • Fibrous Dysplasia of Bone / surgery*
  • Humans
  • Maxilla / pathology*
  • Maxilla / surgery*
  • Quality of Life
  • Radiography