A complex and debilitating case of craniofacial fibrous dysplasia: challenging resection, reconstruction and prosthetic rehabilitation.
S W Guthua, M N Mwasha, M Kamau et al.
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Case in brief
A 28-year-old female presented with massive recurrent craniofacial fibrous dysplasia affecting her entire viscerocranium, leading to airway obstruction, severe malnutrition, and significant disfigurement. A multidisciplinary team executed a total viscerocranial resection followed by facial reconstruction using custom-made titanium patient-specific implants. The patient achieved successful rehabilitation, highlighting the effectiveness of advanced surgical techniques.
Diagnostic / clinical pearl
The case underscores the importance of multidisciplinary planning and the use of patient-specific implants in managing extensive craniofacial fibrous dysplasia.
Why it matters
This approach may enhance surgical outcomes in complex maxillofacial deformities, representing a significant advancement in reconstructive techniques.