Radical treatment for fronto-orbital fibrous dysplasia: The chain-link fence

Ian R. Munro*, B. Chir, Yu Ray Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

58 Scopus citations

Abstract

Fronto-orbital fibrous dysplasia is a progressive disease whose growth does not cease at puberty. It causes frontal protuberance, orbital dystopia, and proptosis. Occasionally, there is neural entrapment. Malignant change may occur spontaneously or as a result of irradiation. Radical resection offers the greatest chance of cure and correction of the entire deformity. Five patients treated by the Toronto Craniofacial Team are reported. This team has developed techniques for one-stage removal and immediate reconstruction with rib grafts. Rigid fixation of the grafts utilizing the chain-link fence principle has proved that if bone grafts are considered as skin grafts and rapid revascularization is permitted, no resorption or loss of contour occurs.

Original languageEnglish
Pages (from-to)719-729
Number of pages11
JournalPlastic and Reconstructive Surgery
Volume67
Issue number6
DOIs
StatePublished - 06 1981
Externally publishedYes

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