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Type: Artigo
Title: Strategies For The Optimal Individualized Surgical Management Of Craniofacial Fibrous Dysplasia
Author: Denadai
Rafael; Raposo-Amaral
Cesar Augusto; Marques
Frederico Figueiredo; Ghizoni
Enrico; Buzzo
Celso Luiz; Raposo-Amaral
Cassio Eduardo
Abstract: The surgical management of craniofacial fibrous dysplasia is controversial. The purpose of this study was to report the surgical outcomes of individualized management of craniofacial fibrous dysplasia of a single institution. Methods: Data from patients (n = 20) with craniofacial fibrous dysplasia, who were surgically treated between 2007 and 2014, were analyzed. Surgical approach (radical or conservative surgery) was individualized according to age, craniofacial anatomical site (zones I to IVof Chen and Noordhoff), functional issues, aesthetic impairment, patients/parents' preferences, and surgical team experience. The surgical outcomes (radical surgery group versus conservative surgery group) were compared based on the age at the time of the procedure, the length of hospital stay, reoperation, recurrence and complication rates, and the Whitaker grading system. Results: Significant (all P < 0.05) differences were observed in patients with craniofacial fibrous dysplasia who were treated with radical excision (65%) compared with those treated with limited reduction burring (35%), according to age (19.22 years versus 12.57 years), the length of hospital stay (3.56 days versus 1.29 days), recurrence (15% versus 71%), and number of subsequent procedures (1 intervention versus 2.4 interventions), respectively. The radical surgery group presented a significantly (P < 0.05) lower initial Whitaker outcome score than the conservative surgery group (1.89 and 2.57, respectively). Similar (all P > 0.05) final Whitaker outcome scores (1.56 versus 1.71) and surgical complication rates (11% versus 14%) were recorded between the treatment groups. Conclusions: Based on clinical experience and surgical outcomes presented in this study, the surgical approach of craniofacial fibrous dysplasia should be tailored to individual patient's needs.
Subject: Craniofacial Fibrous Dysplasia
Fibrous Dysplasia
Surgical Treatment
Surgical Outcomes
Editor: Lippincott Williams & Wilkins
Rights: fechado
Identifier DOI: 10.1097/SAP.0000000000000640
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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