Craniofacial Fibrous Dysplasia : Systematic review of facial management

BOUET, Benjamin; SCHLUND, Matthias; DE MASSARY, Mathilde; NICOT, Romain

doi:10.1016/j.jormas.2023.101660

SCHLUND, Matthias
Bioingénierie tissulaire [BIOTIS]

DE MASSARY, Mathilde

Langue

Article de revue

Ce document a été publié dans

Journal of Stomatology, Oral and Maxillofacial Surgery. 2023-10, vol. 124, n° 6 Suppl.2, p. 101660

Résumé en anglais

Craniofacial fibrous dysplasia (CFD) may be associated with major cosmetic or functional consequences. However, management recommendations for CFD are currently unavailable. Therefore, this systematic literature review aimed to review the existing approaches for CFD management and propose a management algorithm. The focus question was “What are the different options for CFD treatment and their complication rates?” The MEDLINE database was searched, and 33 articles evaluating a total of 1154 patients were reviewed. The bias assessment showed that 20 of the 33 studies had a high or intermediate risk of bias, mainly because of retrospective data collection and small patient numbers. Radical surgery showed a lower recurrence rate than debulking, but its use should be weighed against the morbidity caused by the reconstruction performed in this technique. Orbital decompression using a radical technique or debulking is effective in cases showing exophthalmos or dystopia. Surveillance is a viable option for asymptomatic and/or non-progressive lesions. In cases showing optic nerve compression, prophylactic decompression should be avoided, and decompression should be performed only when patients show diminished visual acuity or visual field defect. Although bisphosphonates have shown efficacy in pain management, their posology requires further discussion. A management algorithm is presented. © 2023 Elsevier Masson SAS< Réduire

URI

https://oskar-bordeaux.fr/handle/20.500.12278/200216

DOI

http://dx.doi.org/10.1016/j.jormas.2023.101660

Unités de recherche

Bioingénierie Tissulaire (BioTis) - U1026

Voir/Ouvrir

Métadonnées

Partager cette publication !

Licence d’utilisation du document