MANAGEMENT FOR RECURRENT FIBROUS DYSPLASIA OF THE MAXILLA: A CASE REPORT

Abstract

Background: Fibrous dysplasia is a developmental disorder of the bone, characterized as a benign pathological condition, and its etiology is not yet known. Fibrous dysplasia can occur in the entire body frame, but is most often found in the skull, maxilla, and mandible. Management of fibrous dysplasia is observation and conservative surgery. Objective: To report the management of recurrent fibrous dysplasia of the maxilla. Case: A 33-year-old female patient came to Universitas Airlangga Dental Hospital with a chief complaint of a lump on her right cheekbone, asymmetrical face, painless, and had a history of maxillectomy in the right region in 2013. CT radiography was performed with a result of polyostotic fibrous dysplasia involving the maxillary bone, nasal, zygoma, skull base, sphenoid, and right frontal bones. Case Management: Ostectomy and surgical recontouring were performed under general anesthesia, along with the extraction of teeth 11, 12, 21, and 22. Postoperative recovery was uneventful. Conclusion: Immediate surgical treatment for recurrent FD of the maxilla is necessary, and regular radiographic follow-up is important to see its progression.

Keywords: Fibrous dysplasia, Maxilla, Non-communicable disease, Recurrent, Surgical recontouring