비골 유리 피판 재건술을 이용한 하악골 섬유성 이형성증 1예

Reconstruction with Fibular Free Flap of Fibrous Dysplasia of Mandible

  • 선동일 (가톨릭대학교 의과대학 강남성모병원 이비인후과교실) ;
  • 손동화 (가톨릭대학교 의과대학 강남성모병원 이비인후과교실) ;
  • 조승호 (가톨릭대학교 의과대학 강남성모병원 이비인후과교실) ;
  • 김민식 (가톨릭대학교 의과대학 강남성모병원 이비인후과교실)
  • Sun Dong-Il (Department of Otolaryngology-Head & Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Son Dong-Hwa (Department of Otolaryngology-Head & Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Cho Seung-Ho (Department of Otolaryngology-Head & Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim Min-Sik (Department of Otolaryngology-Head & Neck Surgery, College of Medicine, The Catholic University of Korea)
  • 발행 : 2004.05.01

초록

Fibrous dysplasia of the mandible is an unusual manifestation of the disease that is usually benign, occurs in young individuals, and is managed by conservative curettage or debridement. We present a case of persistent fibrous dysplasia complicated by pain and abscess formation that was successfully managed by radical resection and reconstruction with a free fibular flap. Although mandibular fibrous dysplasia is preferentially managed conservatively, treatment of this disease has evolved to a point where total excision and immediate reconstruction may be the treatment of choice and offer the best outcome.

키워드

참고문헌

  1. EI Deeb M, Waite DE, Jaspers MT : Fibrous dysplasia of the jaws. Oral Surg. 1979 ; 47 : 312-318 https://doi.org/10.1016/0030-4220(79)90252-4
  2. Obwegeser HL, Freihofer Jr, HPM Horejs J : Variations of fibrous dysplasia in the jaws. J Maxillofac Surg. 1973 ; 1 : 161-171 https://doi.org/10.1016/S0301-0503(73)80034-7
  3. Ramsey HE, Strong EW, Frazell EL : Fibrous dysplasia of the craniofacial bones. Am J Surg. 1968 ; 116 : 542-547 https://doi.org/10.1016/0002-9610(68)90390-5
  4. Schlumberger HG : Fibrous dysplasia (ossifying fibroma) of the maxilla and mandible. Am J Orthod. 1946 ; 32 : 579-587
  5. Chen Y, Noordhoff MS : Treatment of craniomaxillofacial fibrous dysplasia: how early and how extensive? Plast Reconstr Surg. 1990 ; 86 : 835-844
  6. Jackson IT, Hide AH, Gomuwka PK, et al : Treatment of cranioorbital fibrous dysplasia. J Maxillofac Surg. 1982 ; 10 : 138-141 https://doi.org/10.1016/S0301-0503(82)80029-5
  7. Hidalgo DA : Aesthetic improvements in free-flap mandible reconstruction. Plast Reconstr Surg. 1991 ; 88 : 574-587 https://doi.org/10.1097/00006534-199110000-00003
  8. Lichtenstein L : Polyostotic fibrous dysplasia. Arch Patho. 1938 ; 36 : 874-898
  9. Leeds N, Seaman WB : Fibrous dysplasia of the skull and its differential diagnosis. Radiology. 1962 ; 78 : 570-585 https://doi.org/10.1148/78.4.570
  10. Slootweg PJ : Maxillofacial fibro-osseous lesions: classification and differential diagnosis. Semin Diagn Pathol. 1996 ; 13 : 104-112
  11. Yeow VK, Chen YR : Orthognathic surgery in craniomaxillofacial fibrous dysplasia. J Craniofac Surg. 1999 ; 10 : 155-159 https://doi.org/10.1097/00001665-199903000-00012
  12. Posnick JC : Fibrous dysplasia of the craniomaxillofacial region: current clinical perspectives. Br J Oral Maxillofac Surg. 1998 ; 36 : 264-274 https://doi.org/10.1016/S0266-4356(98)90710-0
  13. Finegold RS, Argamaso RV, Strauch B : Free fibula flap mandible reconstruction for oral obstruction secondary to giant fibrous dysplasia. Plast Reconstr Surg 1996 ; 97 : 196-201 https://doi.org/10.1097/00006534-199601000-00032
  14. Gross CW, Montgomery WW : Fibrous dysplasia and malignant degeneration. Arch Otolaryngol. 1967 ; 85 : 653-657 https://doi.org/10.1001/archotol.1967.00760040655012
  15. Schwartz DT, Alpert M : The malignant transformation of fibrous dysplasia. Am J Med Sci. 1964 ; 247 : 1-19 https://doi.org/10.1097/00000441-196401000-00001
  16. Cheng MH, Chen YR : Malignantfibrous histiocytoma degeneration in a patient with facial fibrous dysplasia. Ann Plast Surg. 1997 ; 39 : 638-642 https://doi.org/10.1097/00000637-199712000-00015