Reconstruction of the infraorbital region after resection of fibrous dysplasia with lyophilized bovine bone graft

• Autor(a) principal: Puricelli, Edela
• Data de Publicação: 2021
• Outros Autores: Galia, Carlos Roberto, Quevedo, Alexandre Silva de, Corsetti, Adriana, Freddo, Angelo Luiz, Langie, Renan Cavalheiro, Ponzoni, Deise
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/17295
• topic: Bone Transplantation; Biocompatible Materials; Surgery oral.; Trasplante Óseo; Materiales Biocompatibles; Cirugía bucal.; Enxerto Ósseo; Materiais Biocompatíveis; Cirurgia bucal.

Introduction: Monostotic fibrous dysplasia involving the maxillofacial region is more frequent in the maxilla and may occur in other bones. In most cases, the condition is asymptomatic and has a slow growth, with self-limited evolution, associated with skeletal maturation. Conservative surgical treatment is the preferred approach, whenever possible. Objective and case report: The article aims to present the report of a clinical case of a young patient diagnosed with zygomatic-maxillary monostotic fibrous dysplasia. The proposed treatment was the resection of the lesion and immediate reconstruction of the defect with a lyophilized bovine bone graft. The graft was maintained with a titanium microplate and screws. The patient remained under clinical and imaging control with no evidence of recurrence in the six-year postoperative follow-up. Final considerations: In the immediate reconstruction, the lyophilized bovine bone graft acted as an osteoconductive framework and favored the volumetric recovery of the area providing support for the reorganization of the bone defect.