Fibrous dysplasia maxilla surgical management

 Fibrous dysplasia is a developmental disorder of maxilla in which  immature woven bone is formed directly from abnormal fibrous tissue.  It is characterised by an expansile lesion of fibro osseous tissue.  Fibrous dysplasia is of two types:
1. Mono ostotic fibrous dysplasia
2. Poly ostotic fibrous dysplasia

Fibrous dysplasia of the facial skeleton commonly involves the maxilla.  It commonly involves one maxilla.  The patient manifests with unilateral swelling of cheek (firm in consistency).  Patient may have unilateral proptosis because dysplasia involves the boundaries of the orbit reducing the space available for the orbital contents.  Some of these patients may suffer loss of vision due to entrapment of optic nerve in the dysplastic process. 

This video clipping shows parring surgery being performed to treat this patient.