Surgical treatment of skull fibrous dysplasia

Abstract Background Fibrous dysplasia of the skull is difficult to manage when the cranial nerves, skull base, and face are involved. The procedure for the surgical treatment of this lesion needs to be studied clinically because of the low incidence rate and its operative complicacy. Faced with this...

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Bibliographic Details
Published in:Surgical neurology 2009-08, Vol.72, p.S17-S20
Main Authors: Lei, Peng, MD, Bai, Hongtao, MD, Wang, Yu, MD, Liu, Qi, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Craniotomy - methods
Decompression, Surgical - methods
Facial Bones - pathology
Facial Bones - surgery
Female
Fibrous dysplasia
Fibrous Dysplasia of Bone - complications
Fibrous Dysplasia of Bone - surgery
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Neurology
Neurosurgery
Neurosurgical Procedures - methods
Optic Nerve - surgery
Paranasal Sinuses - surgery
Skull
Skull - pathology
Skull - surgery
Skull base reestablishment
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Young Adult
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Summary:Abstract Background Fibrous dysplasia of the skull is difficult to manage when the cranial nerves, skull base, and face are involved. The procedure for the surgical treatment of this lesion needs to be studied clinically because of the low incidence rate and its operative complicacy. Faced with this, combined with our clinical experience, we explore the surgical strategy and operative procedures of the skull fibrous dysplasia. Methods Twelve patients with skull fibrous dysplasia have been studied with neuroimaging and underwent operative removal of the lesion and cranioplasty and/or reestablishment of the skull base. Results Excellent operating outcome was obtained in 9 cases and good in 3 based on the evaluation of the lesion removal, cranioplasty, skull base reestablishment, and cranial nerve function recovery. Conclusion Surgical treatment is suitable for a patient whose lesion damages his or her cranial nerve function and/or appearance. In general, removal of the lesion, cranioplasty, and/or skull base reestablishment can be finished in 1 stage.
ISSN:0090-3019
1879-3339
DOI:10.1016/j.surneu.2008.03.041