Transcranial surgical correction of cranio-orbital fibrous dysplasia with lateral orbital approach

To explore the transcranial surgical method with lateral orbital approach for the treatment of cranio-orbital fibrous dysplasia. Lateral orbital transcranial extradural approach was adopted to correct complicated fibrous dysplasia in which the frontal, orbital, sphenoid, temporal bones were involved...

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Bibliographic Details
Published inZhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery Vol. 25; no. 1; p. 21
Main Authors Yang, Xian-xian, Guo, Zhi-lin, Mu, Xiong-zheng, Yu, Zhe-yuan
Format Journal Article
LanguageChinese
Published China 01.01.2009
Subjects
Adolescent
Adult
Female
Fibrous Dysplasia of Bone - surgery
Humans
Male
Orbit - surgery
Orbital Diseases - surgery
Skull - surgery
Young Adult
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Summary:To explore the transcranial surgical method with lateral orbital approach for the treatment of cranio-orbital fibrous dysplasia. Lateral orbital transcranial extradural approach was adopted to correct complicated fibrous dysplasia in which the frontal, orbital, sphenoid, temporal bones were involved. Partial lesion removal and optic nerve decompression were performed through the transcranial extradural route by fronto-temporal cranial bone flap exposure. The fronto-orbital skeleton was shaped after bone flap deactivation. 8 cases were treated successfully with no complication. The period of follow-up ranged from 9 months to 3 years. The appearance and the vision improved greatly. Cranial CT showed good bony union with no relapse. Lateral orbital transcranial surgical approach is an optimal technique to correct cranio-orbital fibrous dysplasia.
ISSN:1009-4598