![]() Pieces of bone ( bone grafts) may be taken from the pelvis, ribs, or skull to fill in spaces where bones of the face and head were moved. During the surgery, tissues are moved and blood vessels and nerves are reconnected using microscopic surgery techniques. Some of the bones of the face are cut and moved. The surgery may take 4 to 12 hours or more. The surgery is done while you are deep asleep and pain-free (under general anesthesia). Head and neck surgeons also perform craniofacial reconstruction operations. That is why sometimes a plastic surgeon (for skin and face) and a neurosurgeon (brain and nerves) work together. Surgical repairs involve the skull (cranium), brain, nerves, eyes, and the bones and skin of the face. The medical term for this surgery is craniofacial reconstruction. Depending on the complexity of the surgery required, your child may be hospitalized anywhere from one to several days.How surgery for head and face deformities (craniofacial reconstruction) is done depends on the type and severity of deformity, and the person's condition. In severe cases, the excess bone may grow back over time and require repeated treatments.Īfter surgery for facial fibrous dysplasia, your child should expect to stay overnight in the Hospital. Your child may need additional surgeries over the course of treatment for facial fibrous dysplasia. If your child's condition involves the jaw, plastic surgeons will collaborate with orthodontics at CHOP, or local orthodontists if needed. If surgery is required on a particular facial region such as the skull base, your plastic surgeon may work together with a neurosurgeon or ophthalmologist to ensure the most effective treatment. In severe cases where the jaw is displaced and malocclusion occurs, a combined therapy with orthodontics will utilize osteotomies (bone cuts) to reposition abnormally placed bones. ![]() If the facial fibrous dysplasia is in an area where it is growing and compressing nerves, removing some of the surrounding bone can decompress the nerve.In some patients, a combination of bone reduction with a burr and bone grafting may be utilized.If the area affected is too large or too important to be removed, the size of the bone may be reduced to normal using a high speed burr.If the affected areas of the face are small and easily accessible, treatment usually involves complete surgical removal (resection) of the area and reconstruction using a combination of bone grafts and materials such as titanium plates and screws.Surgery is usually done through limited incision approaches and hidden incisions in the hair.While several surgical options are available to treat facial fibrous dysplasia, your child’s treatment will depend on the location of the bones affected and the severity of the condition. Surgery involved a combination of reducing the excess tumor and placement of bone grafts. Long term results (right) after surgery and showing stable, non-progressive, craniofacial fibrous dysplasia. Patient with fibrous dysplasia involving the forehead and left upper orbit (left). ![]() Boys are more often diagnosed with fibrous dysplasia than girls, except one specific type of polyostotic fibrous dysplasia - McCune-Albright syndrome - which is more common in girls and affects the bones and skin and is associated with hormonal imbalance and often precocious (premature) puberty.
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