Authors of section

Authors

Scott Bartlett, Michael Ehrenfeld, Gerson Mast, Adrian Sugar

Executive Editor

Edward Ellis III

General Editor

Daniel Buchbinder

Open all credits

Partial ostectomy and contouring

1. Introduction

If the disease is limited to a small anatomic area one may also choose a partial excision with the hope that the disease will burn out over time and not recur.

If the disease is extensive and involves large anatomical areas, which would be difficult or risky to resect and reconstruct, contouring and reduction of the bone volume is recommended.

partial ostectomy and contouring

3. Technique

Contouring and reduction of the bone volume is typically done with a combination of osteotomes and burrs and can be applied to any anatomical area: frontal bone maxilla, orbit, and mandible.

fibrous dysplasia extensive

4. Case example

Extensive fibrous dysplasia involving left maxilla, nose and zygoma.

partial ostectomy and contouring

Transoral partial ostectomy and contouring was performed.

partial ostectomy and contouring

Post-operatively the facial contour is normalized without radical resection and preservation of anatomical structures.

partial ostectomy and contouring

5. Aftercare

Aftercare involves antibiotics, standard mouth care with early return to function and eating.