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.
Reconstruction of the infraorbital region after resection of fibrous dysplasia with lyophilized bovine bone graft
09jul